NPIMap

Organization Active NPI

Bexar County Hospital District

Doing business as University Health System Children's Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Antonio, TX
National Provider Identifier
1811320948
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BEXAR COUNTY HOSPITAL DISTRICT
Doing business as
University Health System Children's Kidney Center
Practice address
4502 Medical Drive
Mail Stop 92-1
San Antonio, TX 78229-4493
Phone
(210) 358-9209
Fax
(210) 358-9116
NPI assigned
Aug 13, 2013
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BEXAR COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Mr. Reed Hurley
Title
Executive Vice President/Cfo
Phone
(210) 358-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

4502 Medical Drive
Mail Stop 92-1
San Antonio, TX 78229-4493

Mailing address

4502 Medical Drive
Mail Stop 84-1
San Antonio, TX 78229-4493
Phone (210) 358-0663

Other names 1

  • University Health System Children's Kidney Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140110001298 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5395722904 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
University Health System Children's Kidney CenterCCN 452388
Ownership
Non-profit
Certified
Mar 4, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Chain
State Owned
Dialysis stations
8

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
University Systen Physi46 organizations share this tax ID, including this one
Part of
University Systen Physi

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

4502 Medical Dr
Stop 841
San Antonio, TX 78229

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University HealthSan Antonio, TX, CCN 450213 Hospital Operational/Managerial Control (100%) Aug 1, 2007
University Health SystemSan Antonio, TX, CCN 45T213 Hospital 5% Or Greater Direct Ownership Interest Aug 1, 2007
University Dialysis WestSan Antonio, TX, CCN 453500 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 1, 2007
Aug 1, 2007
Country Care ManorLa Vernia, TX, CCN 675947 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
The Heights of AtascosaPleasanton, TX, CCN 676181 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
The Heights on HuebnerSan Antonio, TX, CCN 676224 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2015
Stone Oak Care CenterSan Antonio, TX, CCN 675968 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1811320948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DRIVE",
            "address_2": "MAIL STOP 84-1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294493",
            "telephone_number": "210-358-0663",
            "fax_number": "210-358-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DRIVE",
            "address_2": "MAIL STOP 92-1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294493",
            "telephone_number": "210-358-9209",
            "fax_number": "210-358-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEXAR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEXAR COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2013-08-13",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REED",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "210-358-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Health System Children's Kidney Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.