Provider Demographics
NPI:1134298466
Name:RIO GRANDE VALLEY HOSPITAL SERVICES
Entity Type:Organization
Organization Name:RIO GRANDE VALLEY HOSPITAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-730-3053
Mailing Address - Street 1:7500 RIALTO BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8531
Mailing Address - Country:US
Mailing Address - Phone:956-440-6300
Mailing Address - Fax:888-698-3908
Practice Address - Street 1:512 VICTORIA LN
Practice Address - Street 2:STE 12
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3226
Practice Address - Country:US
Practice Address - Phone:956-440-6322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HNI MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-08
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TXTXL926207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0020QUOtherBCTX GROUP#
TX00X144OtherGROUP MEDICARE#
TX192222101Medicaid
TX8AU020OtherBCTX
TX8AU020OtherBCTX
TX8F4191Medicare PIN