Organization
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Active
Other names
NORTHEAST METHODIST HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA LEAL (CFO)
(210) 646-5000
Entity
Organization
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 650-4949
(210) 646-5038
Mailing address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 650-4949
(210) 646-5038
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000046027A
HUMANA
—
01
—
0524479
AETNA/US HEALTHCARE
—
01
—
177525700
US DEPT OF LABOR
—
01
—
3341321
HEALTHMARKET
—
01
—
378662
BLACK LUNG
—
01
—
450733
UNICARE
—
01
—
5000170
UNITED HEALTHCARE
—
01
—
HH0789
BLUE CROSS
TX
Enumeration date
05/22/2006
Last updated
06/03/2021
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