Provider Demographics
NPI:1558491449
Name:HOSPITAL CARE CONSULTANTS REGION II INC
Entity Type:Organization
Organization Name:HOSPITAL CARE CONSULTANTS REGION II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-931-8882
Mailing Address - Street 1:17304 PRESTON RD STE 1400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5633
Mailing Address - Country:US
Mailing Address - Phone:866-931-8882
Mailing Address - Fax:
Practice Address - Street 1:200 W TYLER AVE
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4223
Practice Address - Country:US
Practice Address - Phone:870-735-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200116040AMedicaid
WV3810010618Medicaid
ARDG0994OtherMEDICARE RAILROAD
AR164940002Medicaid
NM95183736Medicaid
TX187952001Medicaid
OKDG0994OtherMEDICARE RAILROAD
TXDG0994OtherMEDICARE RAILROAD
KY7100022900Medicaid
ARDG0994OtherMEDICARE RAILROAD
AR164940002Medicaid
AR5F774Medicare PIN
OK200116040AMedicaid
WVHO9370691Medicare PIN
OK200522144Medicare PIN