Provider Demographics
NPI:1033163654
Name:CHG CORNERSTONE HOSPITAL OF CENTRAL TEXAS, L.P.
Entity Type:Organization
Organization Name:CHG CORNERSTONE HOSPITAL OF CENTRAL TEXAS, L.P.
Other - Org Name:CHG CORNERSTONE HOSPITAL OF CENTRAL TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-533-2421
Mailing Address - Street 1:816 CONGRESS
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-2442
Mailing Address - Country:US
Mailing Address - Phone:512-533-2421
Mailing Address - Fax:512-533-2468
Practice Address - Street 1:8402 CROSS PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-4595
Practice Address - Country:US
Practice Address - Phone:512-533-2600
Practice Address - Fax:512-339-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008281282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452053Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER