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1275339459 NPI number — HORIZON EAGLE PASS, LLC

NPI Number: 1275339459
Health Care Provider/Practitioner: HORIZON EAGLE PASS, LLC

Information about “1275339459” NPI (HORIZON EAGLE PASS, LLC) exists in 1275339459 in HTML format HTML  |  1275339459 in plain Text format TXT  |  1275339459 in PDF (Portable Document Format) PDF  |  1275339459 in an XML format XML  formats.

NPI Number : 1275339459 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275339459",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HORIZON EAGLE PASS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 790379",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63179-0379",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-219-3147",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2114 N VETERANS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAGLE PASS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78852-7718",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-219-3147",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2025",
    "LastUpdateDate": "03/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CALLAHAN",
    "AuthorizedOfficialFirstName": "DARLEEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT, REVENUE CYCLE",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "607-437-7902",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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