Provider Demographics
NPI:1417965286
Name:METHODIST HOSPITAL PLAINVIEW TEXAS
Entity Type:Organization
Organization Name:METHODIST HOSPITAL PLAINVIEW TEXAS
Other - Org Name:COVENANT HEALTHCARE CENTER PLAINVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY FOR ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:425-525-5392
Mailing Address - Street 1:PO BOX 677044
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-7044
Mailing Address - Country:US
Mailing Address - Phone:806-291-5100
Mailing Address - Fax:806-291-0069
Practice Address - Street 1:2222 W 24TH ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1802
Practice Address - Country:US
Practice Address - Phone:806-291-5100
Practice Address - Fax:806-291-0069
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METHODIST HOSPITAL PLAINVIEW TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-04
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121079103Medicaid
TX121079103Medicaid