ST. RAPHAEL'S SURGERY CENTER – NPI #1821411885
Clinic/Center

ST. RAPHAEL'S SURGERY CENTER is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1821411885 to ST. RAPHAEL'S SURGERY CENTER on January 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. RAPHAEL'S SURGERY CENTER” is a dba name, the actual legal business name for this organization is ST. RAPHAEL'S 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 6 years ago on Apr 02, 2020. 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 ST. RAPHAEL'S SURGERY CENTER below.

NPI Profile for
ST. RAPHAEL'S SURGERY CENTER LLC

NPI Number
1821411885
Enumeration Date

(more than 12 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
ST. RAPHAEL'S SURGERY CENTER LLC
Doing Business As (dba): ST. RAPHAEL'S SURGERY CENTER
Primary location
18518 HARDY OAK BOULEVARD
SUITE #100
SAN ANTONIO, TX 78258
Phone: (210) 880-9897 Fax: (210) 855-8432
Mailing address
18518 HARDY OAK BLVD
SUITE #100
SAN ANTONIO, TX 78258
Phone: (210) 880-9897 Fax: (210) 855-8432
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5900
Updated
Certification Date
Apr 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.