IRC-SAN ANTONIO-MEDICAL DRIVE – NPI #1376138479
Clinic/Center

IRC-SAN ANTONIO-MEDICAL DRIVE is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1376138479 to IRC-SAN ANTONIO-MEDICAL DRIVE on March 02, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IRC-SAN ANTONIO-MEDICAL DRIVE” is a dba name, the actual legal business name for this organization is IRC HILL COUNTRY LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Jan 10, 2023. 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 IRC-SAN ANTONIO-MEDICAL DRIVE below.

NPI Profile for
IRC HILL COUNTRY LLC

NPI Number
1376138479
Enumeration Date

(more than 5 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
IRC HILL COUNTRY LLC
Doing Business As (dba): IRC-SAN ANTONIO-MEDICAL DRIVE
Primary location
3939 MEDICAL DR STE 110
SAN ANTONIO, TX 78229-2292
Phone: (210) 692-3075 Fax: (210) 949-4551
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARA BRADY
CHIEF NURSING OFFICER
Phone: (208) 371-7878
Updated
Certification Date
Jan 10, 2023

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
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (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.