Evergreen Hcs - Nctx 1

LBN: Evergreen Presbyterian Ministries Of Texas, Inc.
Evergreen Hcs - Nctx 1 is an health care organization with primary practice located at 10810 Sanden Dr , Dallas TX 75238-1337. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Evergreen Presbyterian Ministries Of Texas, Inc. can be contacted via phone (972) 386-4834, or through Taylor, John R via phone (318) 949-5500.

Contact Information

Primary practice address
10810 Sanden Dr Dallas TX 75238-1337
Fax:
Website:
Authorized official contact:
Name: Taylor, John R

Profile Details

NPI number 1811036031
LBN Legal business name Evergreen Presbyterian Ministries Of Texas, Inc.
DBA Doing business as Evergreen Hcs - Nctx 1
Authorized official Taylor, John R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811036031 NPPES
Texas MEDICAID 001007659

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