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Contact Information

PADRE BEHAVIORAL HEALTH SYSTEM, LLC
6629 WOOLDRIDGE RD
CORPUS CHRISTI, TX78414-2909
 Phone: 361-986-9444
 Fax: 361-986-1897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for PADRE BEHAVIORAL HEALTH SYSTEM, LLC

NPI Number 1588661060
LBN Legal business name PADRE BEHAVIORAL HEALTH SYSTEM, LLC
Authorized official JOHN CROLEY - (CEO-CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 007165
TX Other HH3978 BCBS CD
TX Other HH6788 BCBS PARTIAL
TX Other HH0978 BCBS PSYCH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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