FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP – NPI #1386635951
Clinic/Center

FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP is an AHC clinic located in EAGLE PASS, TX. NPPES has assigned the NPI number 1386635951 to FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP on November 02, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP” is a dba name, the actual legal business name for this organization is FORT DUNCAN MEDICAL CENTER LP. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 4 years ago on Jan 24, 2022. 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 FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP below.

NPI Profile for
FORT DUNCAN MEDICAL CENTER LP

NPI Number
1386635951
Enumeration Date

(more than 20 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
FORT DUNCAN MEDICAL CENTER LP
Doing Business As (dba): FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP
Primary location
3333 N FOSTER MALDONADO BLVD
EAGLE PASS, TX 78852
Phone: (830) 773-5321 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE FILTON
CFO, SENIOR VP
Phone: (610) 768-3300
Updated
Certification Date
Jan 24, 2022

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.

Identifiers

Identifiers for FORT DUNCAN REGIONAL MEDICAL CENTER CRNA GROUP

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
OTHERBCBS OF TXTX00C71P
MEDICAIDTX1108037-01
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
261QE0002X
- Clinic/Center / Emergency Care (Primary)
TX 547

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669