Provider Demographics
NPI:1821011248
Name:BEXAR COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:BEXAR COUNTY HOSPITAL DISTRICT
Other - Org Name:UNIVERSITY HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-358-2101
Mailing Address - Street 1:4502 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4493
Mailing Address - Country:US
Mailing Address - Phone:210-358-4000
Mailing Address - Fax:210-358-4745
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4493
Practice Address - Country:US
Practice Address - Phone:210-358-4000
Practice Address - Fax:210-358-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA1903X
TX000158282N00000X
TX45D0502175291U00000X
TX45D666399291U00000X
TX45D0892035291U00000X
TX45D0886135291U00000X
TX45D0883066291U00000X
TX45D0705589291U00000X
TX45D1002231291U00000X
TX01-50853416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No291U00000XLaboratoriesClinical Medical Laboratory
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1361412-01Medicaid
TX1361412-03Medicaid
TX1361412-05Medicaid
TX1268815-01Medicaid
TX1268815-02Medicaid
TX45-0213Medicare Oscar/Certification