Healthcare Provider Details

I. General information

NPI: 1154375475
Provider Name (Legal Business Name): COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 BOOTH CALLOWAY RD
NORTH RICHLAND HILLS TX
76180-7371
US

IV. Provider business mailing address

4401 BOOTH CALLOWAY RD REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W
NORTH RICHLAND HILLS TX
76180-7371
US

V. Phone/Fax

Practice location:
  • Phone: 469-420-7602
  • Fax: 817-284-4817
Mailing address:
  • Phone: 469-420-7602
  • Fax: 817-284-4817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICK GALT
Title or Position: CFO
Credential:
Phone: 817-255-1106