Provider Demographics
NPI:1942464730
Name:METHODIST HOSPITAL PLAINVIEW
Entity Type:Organization
Organization Name:METHODIST HOSPITAL PLAINVIEW
Other - Org Name:COVENANT HOSPITAL PLAINVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-296-5531
Mailing Address - Street 1:2601 DIMMITT RD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-1833
Mailing Address - Country:US
Mailing Address - Phone:806-296-5531
Mailing Address - Fax:806-296-0281
Practice Address - Street 1:2601 DIMMITT RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1833
Practice Address - Country:US
Practice Address - Phone:806-296-5531
Practice Address - Fax:806-296-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000146282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX450539B000000OtherSECTION 1011 PROVIDER