MEDICARE: HEALTHCARE HL EMERGENCY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1003495664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE HL EMERGENCY SERVICES, LLC

Provider Business Mailing Address
First Line	:	4780 STATE HIGHWAY 121
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-2913
Country	:	US
Telephone Number	:	214-469-2500
Fax Number	:	214-469-1111

Provider Business Practice Location Address
First Line	:	2000 DALLAS PKWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4312
Country	:	US
Telephone Number	:	214-469-2500
Fax Number	:	214-469-1111

Authorized Official
Title or Position	:	FACILITY ADMINISTRATOR
Name	:	MRS. ALEXIS RENEE ACOSTA
Credential	:
Telephone Number	:	214-469-2500

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	04/02/2021

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