NPIViewer - Provider NPI 1306897277

NPI:	1306897277
Name:	COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP
Entity type:	Organization
Organization Name:	COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY LP
Other - Org Name:	<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:	CFO
Authorized Official - Prefix:
Authorized Official - First Name:	ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:	PROCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	940-384-3206
Mailing Address - Street 1:	3535 S I-35 E
Mailing Address - Street 2:
Mailing Address - City:	DENTON
Mailing Address - State:	TX
Mailing Address - Zip Code:	76210-6850
Mailing Address - Country:	US
Mailing Address - Phone:	940-384-3535
Mailing Address - Fax:	940-382-4864
Practice Address - Street 1:	3535 S I-35 E
Practice Address - Street 2:
Practice Address - City:	DENTON
Practice Address - State:	TX
Practice Address - Zip Code:	76210-6850
Practice Address - Country:	US
Practice Address - Phone:	940-384-3535
Practice Address - Fax:	940-382-4864
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-05-15
Last Update Date:	2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	261QA1903X	Ambulatory Health Care Facilities	Clinic/Center	Ambulatory Surgical

State	Identifier ID	ID Type	Issuer
GA	000953895X	Medicaid
SD	0126922	Medicaid
OH	2511124	Medicaid
FL	910893900	Medicaid
	HH0689	Other	BLUE CROSS
TX	111905902	Medicaid
WA	3023777	Medicaid
AZ	642810	Medicaid
CO	78258804	Medicaid
MO	016100703	Medicaid
CA	XHSP33639	Medicaid
OK	100706730A	Medicaid
LA	1763535	Medicaid
VA	010099749	Medicaid
KY	0160078200	Medicaid
ID	806505600	Medicaid
MS	02653708	Medicaid
NE	10025211000	Medicaid
SC	11434B	Medicaid
KS	200046300B	Medicaid
NC	4500634	Medicaid
AL	DEN0634N	Medicaid
AR	149607105	Medicaid
	166019100	Other	DEPT OF LABOR
MN	831253200	Medicaid
OK	100706730A	Medicaid
AR	149607105	Medicaid
MN	831253200	Medicaid