Provider Demographics
NPI:1518911833
Name:COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Entity Type:Organization
Organization Name:COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Other - Org Name:MEDICAL CITY NORTH HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-255-1106
Mailing Address - Street 1:4401 BOOTH CALLOWAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7371
Mailing Address - Country:US
Mailing Address - Phone:817-255-1000
Mailing Address - Fax:817-284-4817
Practice Address - Street 1:4401 BOOTH CALLOWAY RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7371
Practice Address - Country:US
Practice Address - Phone:817-255-1000
Practice Address - Fax:817-284-4817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146609105Medicaid
166013500OtherDEPT OF LABOR
HH0526OtherBLUE CROSS
LA1702137Medicaid
NC4500087Medicaid
SD0131510Medicaid
KS100419430AMedicaid
OH2458951Medicaid
VA004500873Medicaid
MS07659747Medicaid
IN200350990AMedicaid
MT4101454Medicaid
MA7204973Medicaid
ID806496300Medicaid
FL910696100Medicaid
NY01544852Medicaid
MO015691801Medicaid
TX094105602Medicaid
NE10024965500Medicaid
OR100333Medicaid
WA3024288Medicaid
AZ694324Medicaid
WI82190700Medicaid
MI4674201Medicaid
OK100697870AMedicaid
ALNOR0087NMedicaid
30019199OtherENERGY DEPT
CAXHSP33467Medicaid
LA1702137Medicaid
MI4674201Medicaid
450087Medicare Oscar/Certification