Provider Demographics
NPI:1215296884
Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
Entity type:Organization
Organization Name:TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-0103
Mailing Address - Street 1:PO BOX 731778
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1778
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:10864 TEXAS HEALTH TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-4897
Practice Address - Country:US
Practice Address - Phone:682-212-2000
Practice Address - Fax:817-693-2510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100162261QA1903X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH072DOtherBCBSA
TX316296802OtherMEDICAID HASCO
TXHOHH072D01OtherBCBS
TX316296801Medicaid