Provider Demographics
NPI:1720025885
Name:ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP
Entity Type:Organization
Organization Name:ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP
Other - Org Name:ST. DAVIDS REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-544-5030
Mailing Address - Street 1:1005 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2713
Mailing Address - Country:US
Mailing Address - Phone:512-476-7111
Mailing Address - Fax:512-404-8102
Practice Address - Street 1:1005 E 32ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2713
Practice Address - Country:US
Practice Address - Phone:512-476-7111
Practice Address - Fax:512-404-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HH0844OtherBLUE CROSS
177677600OtherUS DEPT OF LABOR
5000188OtherUNITED HEALTHCARE
5000188OtherUNITED HEALTHCARE
=========004OtherTRICARE SC
HH0844OtherBLUE CROSS