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NPI Code Detail

MEDICARE: COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP

MEDICARE: COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH 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
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1166010000OTHERDEPT OF LABOR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5HH0730OTHERTXBLUE CROSS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659323772
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP
Provider Business Mailing Address
First Line : 900 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3902
Country : US
Telephone Number : 817-336-2100
Fax Number : 817-347-5796
Provider Business Practice Location Address
First Line : 900 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3902
Country : US
Telephone Number : 817-336-2100
Fax Number : 817-347-5796
Authorized Official
Title or Position : CFO
Name : DAVID VILLAGRAN
Credential :
Telephone Number : 817-347-5862
Provider Enumeration Date : 05/17/2006
Last Update Date : 11/10/2025

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Directions to “COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP ” Practice Location

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