Healthcare Provider Details

I. General information

NPI: 1164529400
Provider Name (Legal Business Name): VALLEY BAPTIST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 PEASE ST
HARLINGEN TX
78550-8307
US

IV. Provider business mailing address

PO BOX 2588
HARLINGEN TX
78551-2588
US

V. Phone/Fax

Practice location:
  • Phone: 956-389-2060
  • Fax: 956-389-2017
Mailing address:
  • Phone: 956-389-1268
  • Fax: 956-389-4536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number00400
License Number StateTX

VIII. Authorized Official

Name: MR. JAMES E. EASTHAM
Title or Position: PRESIDENT &CEO
Credential:
Phone: 956-389-1615