DEPARTMENT OF STATE HEALTH SERVICES
Long Term Care Hospital
San Antonio, Texas
Provider NPI: 1841354677
Organization Information:Organization Name: DEPARTMENT OF STATE HEALTH SERVICES
Practice Location:
2303 S.E. MILITARY DR SAN ANTONIO, TX 78223 US
Tel: 210-531-4533 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2303 S.E. MILITARY DR SAN ANTONIO, TX 78223 US
Tel: 210-531-4533 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282N00000X | Hospitals General Acute Care Hospital |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | HH4568 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin