Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Active
Other names
Central Texas Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SUTTON (CFO)
(512) 753-3505
Entity
Organization
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3505
(512) 753-8979
Mailing address
PO BOX 6427, FORT WORTH, TX 76115-0427
(512) 753-3505
(512) 753-8979
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000556
TX
282N00000X
General Acute Care Hospital
Primary
000556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102778100
FIRST HEALTH
TX
01
—
1217895-05
MEDICAID-CSHCN ACUTE
TX
01
—
121789502
HASC - MEDICAID
TX
01
—
121789503
SUPERIOR HEALTH PLAN CHIP
TX
05
—
121789503
—
TX
01
—
121789505
MEDICAID-CSHCN ACUTE
TX
01
—
121789506
MEDCAID-CSHCN HASC
TX
01
—
14022
SCOTT & WHITE HEALTH PL
TX
01
—
450272
AMERICAN PIONEER LIFE
TX
01
—
616461
AETNA
TX
01
—
6542460
AETNA
TX
01
—
HH0460
BLUE CROSS BLUE SHIELD
TX
01
—
HH5124
BCBS
TX
Enumeration date
08/10/2006
Last updated
02/12/2015
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