Provider Demographics
NPI:1598590101
Name:ASCENSION SETON
Entity type:Organization
Organization Name:ASCENSION SETON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REG DIR NET REVENUE RIMB
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-410-2789
Mailing Address - Street 1:PO BOX 204233
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-4233
Mailing Address - Country:US
Mailing Address - Phone:512-237-3214
Mailing Address - Fax:
Practice Address - Street 1:1201 HILL RD
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-9533
Practice Address - Country:US
Practice Address - Phone:512-237-3214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit