NPIMap

Organization Active NPI

Methodist Healthcare System of San Antonio, LTD., L.L.P.

Doing business as Northeast Methodist Hospital

  • General Acute Care Hospital
  • Live Oak, TX
National Provider Identifier
1972557965
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Doing business as
Northeast Methodist Hospital
Practice address
12412 Judson Rd
Live Oak, TX 78233-3255
Phone
(210) 650-4949
Fax
(210) 646-5038
NPI assigned
May 22, 2006
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Claudia Leal
Title
Cfo
Phone
(210) 646-5000

Specialties & licenses 1

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

Addresses

Primary practice location

12412 Judson Rd
Live Oak, TX 78233-3255

Mailing address

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

Other identifiers 9

IdentifierTypeStateIssuer
450733OtherUNICARE
0524479OtherAETNA/US HEALTHCARE
HH0789OtherTXBLUE CROSS
450733OtherSTERLING OPTION
000046027AOtherHUMANA
177525700OtherUS DEPT OF LABOR
5000170OtherUNITED HEALTHCARE
3341321OtherHEALTHMARKET
378662OtherBLACK LUNG

Other names 1

  • NORTHEAST METHODIST HOSPITAL Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NORTHEASTMETHODIST.COCVO.TXF@CCDA.HCADIRECT.NET

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Hospital35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Interoperability endpoints

  • Direct secure messaging: northeastmethodist.cocvo.txf@ccda.hcadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1972557965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 JUDSON RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333255",
            "telephone_number": "210-650-4949",
            "fax_number": "210-646-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 JUDSON RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333255",
            "telephone_number": "210-650-4949",
            "fax_number": "210-646-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-646-5000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "450733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "0524479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0789",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION",
            "identifier": "450733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000046027A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "177525700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHMARKET",
            "identifier": "3341321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "378662",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NORTHEASTMETHODIST.COCVO.TXF@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "12412 Judson Rd",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NORTHEAST METHODIST HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHEAST METHODIST HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.