NPIMap

Organization Active NPI

Coryell County Memorial Hospital Authority

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1669589610
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
111351 Issued in TX
Legal business name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice address
8501 Laurens LN
San Antonio, TX 78218-6092
Phone
(210) 804-1223
Fax
(210) 804-1279
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
David Byrom
Title
Ceo
Phone
(254) 248-6245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 111351 TX Primary

Addresses

Primary practice location

8501 Laurens LN
San Antonio, TX 78218-6092

Mailing address

8501 Laurens LN
San Antonio, TX 78218-6092
Phone (210) 804-1223

Other names 1

  • Regent Care Center of Oakwell Farms Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1669589610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 LAURENS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782186092",
            "telephone_number": "210-804-1223",
            "fax_number": "210-804-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LAURENS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782186092",
            "telephone_number": "210-804-1223",
            "fax_number": "210-804-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "BYROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-248-6245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Care Center of Oakwell Farms",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regent Care Center of Oakwell Farms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.