Provider Demographics
NPI:1205871225
Name:ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
Entity type:Organization
Organization Name:ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:2000 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7726
Mailing Address - Country:US
Mailing Address - Phone:512-943-3000
Mailing Address - Fax:512-943-4477
Practice Address - Street 1:2000 SCENIC DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7726
Practice Address - Country:US
Practice Address - Phone:512-943-3000
Practice Address - Fax:512-943-4477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-17
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========024OtherTRICARE
45T191Medicare Oscar/Certification