Provider Demographics
NPI:1518557602
Name:CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Entity Type:Organization
Organization Name:CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING SPECIALIS
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-207-8689
Mailing Address - Street 1:PO BOX 839966
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78283-3966
Mailing Address - Country:US
Mailing Address - Phone:210-207-7282
Mailing Address - Fax:
Practice Address - Street 1:1226 NW 18TH ST STE 113
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-1300
Practice Address - Country:US
Practice Address - Phone:219-207-7282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare