Provider Demographics
NPI:1437102639
Name:COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP
Entity Type:Organization
Organization Name:COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP
Other - Org Name:MEDICAL CITY MCKINNEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-547-8006
Mailing Address - Street 1:4500 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1650
Mailing Address - Country:US
Mailing Address - Phone:972-547-8000
Mailing Address - Fax:972-547-8008
Practice Address - Street 1:4500 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1650
Practice Address - Country:US
Practice Address - Phone:972-547-8000
Practice Address - Fax:972-547-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26024560Medicaid
KS100286890BMedicaid
LA1702498Medicaid
373877800OtherDEPT OF LABOR
NMA9023Medicaid
ND01496Medicaid
MO016106205Medicaid
NE10025000100Medicaid
OK200026520AMedicaid
HH0082OtherBLUE CROSS
NJ0030163Medicaid
IA0574699Medicaid
TX112698903Medicaid
AR149652105Medicaid
IN200454270AMedicaid
AZ535982Medicaid
MS06487557Medicaid
MN165133100Medicaid
WV3810000842Medicaid
OH2283961Medicaid
FL911362200Medicaid
MS06487557Medicaid
CO26024560Medicaid
UT=========001Medicaid
NMA9023Medicaid
ND01496Medicaid