Organization Active NPI

South Texas Veterans Healthcare System

  • General Acute Care Hospital
  • Boerne, TX
National Provider Identifier
1619071875
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTH TEXAS VETERANS HEALTHCARE SYSTEM
Practice address
112 Dove Mountain Dr
Boerne, TX 78006-7868
Phone
(830) 537-4088
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Philip A. Grota, LCSW
Title
Supervisor, Social Work Service
Phone
(210) 617-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

112 Dove Mountain Dr
Boerne, TX 78006-7868

Mailing address

7400 Merton Minter Boulevard
San Antonio, TX 78229
Phone (210) 617-5300

Other identifiers 1

IdentifierTypeStateIssuer
00341OtherTXSOCIAL WORK LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619071875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER BOULEVARD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-617-5300",
            "fax_number": "210-949-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DOVE MOUNTAIN DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067868",
            "telephone_number": "830-537-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS VETERANS HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROTA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SUPERVISOR, SOCIAL WORK SERVICE",
        "authorized_official_telephone_number": "210-617-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "00341",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.