# METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO,LTD,LLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METHODIST MINISTRIES OF SAN ANTONIO IN SOUTH TEXAS
- **Other names:** Northeast Methodist Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023248754
- **Legal business name:** METHODIST MINISTRIES OF SAN ANTONIO IN SOUTH TEXAS
- **Authorized official:** MR. MARK L. BERNARD FACHE (CEO)
- **Authorized official phone:** (210) 757-7000

## Contact information

- **Practice address:** 12412 JUDSON RD, LIVE OAK, TX 78233-3255
- **Practice address phone:** (210) 757-7000
- **Mailing address:** 10230 MISSION CRK, CONVERSE, TX 78109-1680
- **Mailing address phone:** (210) 592-8254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 724055 | TX | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/15/2009