Organization · Type 2 NPI

Methodist Healthcare System of San Antonio,ltd,llp

Nursing Facility/Intermediate Care Facility · Live Oak, TX

NPI number 1023248754 Active

Practice location

12412 Judson Rd
Live Oak, TX 78233-3255

Call (210) 757-7000 Map

Mailing address

10230 Mission Crk
Converse, TX 78109-1680

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	724055 (TX)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

45 other providers at this address

NPI record

NPI: 1023248754
Entity type: Organization (Type 2)
Issued: Jul 15, 2009
Last updated: Jul 15, 2009
Status: Active
Subpart: Yes of Methodist Ministries of San Antonio In South Texas

Other names

<unavail>
Northeast Methodist Hospital · doing business as

Authorized official

Mr. Mark L. Bernard, FACHE
CEO
(210) 757-7000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023248754

Methodist Healthcare System of San Antonio,ltd,llp's National Provider Identifier is 1023248754, issued on Jul 15, 2009. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Live Oak, TX. The record was last updated on Jul 15, 2009.