Provider Demographics
NPI:1720033947
Name:ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP
Entity Type:Organization
Organization Name:ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP
Other - Org Name:HEART HOSPITAL OF AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-407-7510
Mailing Address - Street 1:919 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2703
Mailing Address - Country:US
Mailing Address - Phone:512-476-7111
Mailing Address - Fax:512-404-8102
Practice Address - Street 1:919 E 32ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2703
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:2006-05-24
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
5000167OtherUNITED HEALTHCARE
376099600OtherUS DEPT OF LABOR
450431OtherSTERLING OPTION
300992OtherBLACK LUNG
TXHH0007OtherBLUE CROSS/MEDVIEW
MS03283068Medicaid
450431OtherUNICARE
450431OtherWORKMANS COMP
LA1708330Medicaid
TX94160102Medicaid
0520298OtherAETNA/US HEALTHCARE
3341349OtherHEALTHMARKET
TXHH0007OtherBLUE CROSS/MEDVIEW
376099600OtherUS DEPT OF LABOR
450431OtherSTERLING OPTION