Provider Demographics
NPI:1255724639
Name:COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Entity type:Organization
Organization Name:COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:GALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-255-1106
Mailing Address - Street 1:4401 BOOTH CALLOWAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7371
Mailing Address - Country:US
Mailing Address - Phone:817-255-1000
Mailing Address - Fax:817-284-4815
Practice Address - Street 1:4401 BOOTH CALLOWAY RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7371
Practice Address - Country:US
Practice Address - Phone:817-255-1000
Practice Address - Fax:817-284-4815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-10
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
45S087Medicare Oscar/Certification