VILLAGE SPECIALTY SURGICAL CENTER – NPI #1407853740
Clinic/Center

VILLAGE SPECIALTY SURGICAL CENTER is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1407853740 to VILLAGE SPECIALTY SURGICAL CENTER on July 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VILLAGE SPECIALTY SURGICAL CENTER” is a dba name, the actual legal business name for this organization is NORTHEAST BAPTIST SURGERY CENTER LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Nov 05, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VILLAGE SPECIALTY SURGICAL CENTER below.

NPI Profile for
NORTHEAST BAPTIST SURGERY CENTER LLC

NPI Number
1407853740
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST BAPTIST SURGERY CENTER LLC
Doing Business As (dba): VILLAGE SPECIALTY SURGICAL CENTER
Primary location
8715 VILLAGE DR
SUITE 200
SAN ANTONIO, TX 78217
Phone: (210) 477-1775 Fax: (210) 477-1794
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MISTY WALTON
ADMINISTRATOR
Phone: (210) 477-1788
Updated
Identifiers

Identifiers for VILLAGE SPECIALTY SURGICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARETX490003869
MEDICAIDTX087944701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 TX 000369

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.