Provider Demographics
NPI:1366859597
Name:TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
Other - Org Name:TEXAS HEALTH BEHAVIORAL HEALTH FACILITY ARLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-236-3013
Mailing Address - Street 1:PO BOX 910818
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0818
Mailing Address - Country:US
Mailing Address - Phone:800-890-6034
Mailing Address - Fax:
Practice Address - Street 1:800 W RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2504
Practice Address - Country:US
Practice Address - Phone:817-548-6130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS HEALTH RESOURCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-21
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000422273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH000OtherBCBS PSYCH INPATIENT
TX000422OtherTDHSS
TXHOHH611301OtherBCBS PHP