MEDICARE: COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22	166018400	OTHER	DEPT OF LABOR
23	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24	HH0725	OTHER	BLUE CROSS

General Provider Information

NPI Number	:	1255384533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP

Provider Business Mailing Address
First Line	:	500 W MAIN ST
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3629
Country	:	US
Telephone Number	:	972-420-1000
Fax Number	:	972-420-1073

Provider Business Practice Location Address
First Line	:	500 W MAIN ST
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3629
Country	:	US
Telephone Number	:	972-420-1000
Fax Number	:	972-420-1073

Authorized Official
Title or Position	:	CFO
Name	:	RHONDA BOOTS
Credential	:
Telephone Number	:	469-370-2703

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	11/05/2025

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MEDICARE: COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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