NPIViewer - Provider NPI 1699726406

NPI:	1699726406
Name:	COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
Entity type:	Organization
Organization Name:	COLUMBIA MEDICAL CENTER OF PLANO SUBSIDIARY LP
Other - Org Name:	<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:	CFO
Authorized Official - Prefix:
Authorized Official - First Name:	BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:	STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	972-519-1520
Mailing Address - Street 1:	3901 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:	PLANO
Mailing Address - State:	TX
Mailing Address - Zip Code:	75075-7738
Mailing Address - Country:	US
Mailing Address - Phone:	972-596-6800
Mailing Address - Fax:	972-519-1295
Practice Address - Street 1:	3901 W 15TH ST
Practice Address - Street 2:
Practice Address - City:	PLANO
Practice Address - State:	TX
Practice Address - Zip Code:	75075-7738
Practice Address - Country:	US
Practice Address - Phone:	972-596-6800
Practice Address - Fax:	972-519-1295
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

State	Identifier ID	ID Type	Issuer
GA	390562636A	Medicaid
KS	100421280A	Medicaid
LA	1700550	Medicaid
NH	20001779	Medicaid
	HH0715	Other	BLUE CROSS
IN	200391040A	Medicaid
ID	806728400	Medicaid
AZ	823577	Medicaid
CA	XHSP33441	Medicaid
AR	146007105	Medicaid
	166012100	Other	DEPT OF LABOR
NC	4500651	Medicaid
FL	911494700	Medicaid
AL	HOS0651N	Medicaid
MS	0220769	Medicaid
PA	101144572	Medicaid
MI	304741986	Medicaid
MO	016152308	Medicaid
MN	031243600	Medicaid
OK	200027750A	Medicaid
OH	2374621	Medicaid
CO	60004851	Medicaid
VA	010136334	Medicaid
SC	11260B	Medicaid
WY	119358900	Medicaid
TX	127311205	Medicaid
WV	9802091000	Medicaid
IN	200391040A	Medicaid
NE	=========00	Medicaid
IL	=========001	Medicaid
CA	XHSP33441	Medicaid