Provider Demographics
NPI:1437639283
Name:MAGENTA HEALTH, INC.
Entity Type:Organization
Organization Name:MAGENTA HEALTH, INC.
Other - Org Name:MAGENTA HEALTH - RITTIMAN
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF CLINICS
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-938-7694
Mailing Address - Street 1:646 S FLORES ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4949 RITTIMAN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4636
Practice Address - Country:US
Practice Address - Phone:210-504-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate HealthGroup - Multi-Specialty