SOUTHWESTERN SURGERY CENTER – NPI #1417120684
Clinic/Center

SOUTHWESTERN SURGERY CENTER is an AHC clinic located in ENNIS, TX. NPPES has assigned the NPI number 1417120684 to SOUTHWESTERN SURGERY CENTER on April 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHWESTERN SURGERY CENTER” is a dba name, the actual legal business name for this organization is NORTH TEXAS HEALTH ALLIANCE, 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 16 years ago on Sep 15, 2010. 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 SOUTHWESTERN SURGERY CENTER below.

NPI Profile for
NORTH TEXAS HEALTH ALLIANCE, LLC

NPI Number
1417120684
Enumeration Date

(more than 18 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
NORTH TEXAS HEALTH ALLIANCE, LLC
Doing Business As (dba): SOUTHWESTERN SURGERY CENTER
Primary location
2200 PHYSICIANS BOULEVARD
SUITE A
ENNIS, TX 75119
Phone: (972) 875-5538 Fax: (972) 875-8530
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN SULLIVAN
PRESIDENT OF GOVERNING BODY
Phone: (972) 875-4700
Updated
Identifiers

Identifiers for SOUTHWESTERN SURGERY 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
MEDICAIDTX2046377
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)

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.