Department of State Health Services

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

DEPARTMENT OF STATE HEALTH SERVICES

Practice address

2303 S.E. Military Dr
San Antonio, TX 78223

Phone

(210) 531-4533

Fax

(210) 531-4560

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

David Gruber

Title

Associate Commissioner

Phone

(512) 776-6186

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texas Center for Infectious Disease Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospital certification: CCN 670125

Legal name

DEPARTMENT OF STATE HEALTH SERVICES

Doing business as

TEXAS CENTER FOR INFECTIONS DISEASE

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Sep 1, 2018

Last certification

Sep 1, 2018

Beds

75

Ownership / control type

State

Organization structure

OtherNon-profit

Enrollment address

2303 SE Military Dr
San Antonio, TX 78223-3542
Main/Primary Hospital Location

Hospital subgroups

Acute care

Hospital certification: CCN 452033

Legal name

TEXAS CENTER FOR INFECTIOUS DISEASE

Certification status

Terminated Other: provider status change, Aug 31, 2018

Provider type (POS)

Hospital – Long-term

Participating since

Sep 1, 1994

Last certification

Jul 31, 2015

Beds

75

Ownership / control type

State

Facility address

2303 SE Military Dr P O Box 23340
San Antonio, TX 78223

Other NPIs with the same Medicare PAC ID 1

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

• Department of State Health Services

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1114931391

  6608784103

  Same PAC ID

Listed as

Texas Center for Infectious DiseaseCCN 670125

Type

Acute Care Hospitals

Ownership

Government - State

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1841354677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S.E. MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-531-4533",
            "fax_number": "210-531-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S.E. MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-531-4533",
            "fax_number": "210-531-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASSOCIATE COMMISSIONER",
        "authorized_official_telephone_number": "512-776-6186"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH4568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Center for Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Center for Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winston L Deocampo, PT
• Joanne Yango Deodores
• Barbara Depa, PMHNP
• Department of State Health Services
• Department of State Health Services
• Department of Veterans Affairs
• Department of Veterans Affairs
• Scott Andrew Depaul, MD
• Dependable Care Services Inc
• Dependable Care Transportation Inc

• General Acute Care Hospital in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.