Provider Demographics
NPI:1124074273
Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Entity type:Organization
Organization Name:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-575-6275
Mailing Address - Street 1:7700 FLOYD CURL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3902
Mailing Address - Country:US
Mailing Address - Phone:210-575-4000
Mailing Address - Fax:210-692-4410
Practice Address - Street 1:7700 FLOYD CURL DRIVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-575-4000
Practice Address - Fax:210-692-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
0068137OtherAETNA/US HEALTHCARE
3341320OtherHEALTHMARKET
FL092621300Medicaid
LA1757802Medicaid
236556700OtherUS DEPT OF LABOR
450388OtherUNICARE
450388OtherWORKMANS COMP
AR148116105Medicaid
450388OtherSTERLING OPTION
000045721OtherHUMANA
300188OtherBLACK LUNG
5000178OtherUNITED HEALTHCARE
TX94154402Medicaid
CO95006904Medicaid
TXHH1557OtherBLUE CROSS
CAXHSP42561Medicaid
OK100701670AMedicaid
WI80538400Medicaid
NE=========00Medicaid
3341320OtherHEALTHMARKET
000045721OtherHUMANA