Provider Demographics
NPI:1558430520
Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Other - Org Name:KINDRED HOSPITAL - SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:3636 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2183
Mailing Address - Country:US
Mailing Address - Phone:210-616-0616
Mailing Address - Fax:210-593-0661
Practice Address - Street 1:3636 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2183
Practice Address - Country:US
Practice Address - Phone:210-616-0616
Practice Address - Fax:210-593-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000645282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021002301Medicaid
TXHH0900OtherBLUE CROSS
TX=========OtherHUMANA
TXHH0900OtherBLUE CROSS
TX021002301Medicaid
TX=========OtherCIGNA
TXHH0900OtherBLUE CROSS