NPIViewer - Provider NPI 1134172406

NPI:	1134172406
Name:	COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Entity type:	Organization
Organization Name:	COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Other - Org Name:	<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:	CFO
Authorized Official - Prefix:
Authorized Official - First Name:	NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:	TINDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	682-509-6009
Mailing Address - Street 1:	3301 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:	ARLINGTON
Mailing Address - State:	TX
Mailing Address - Zip Code:	76015-2908
Mailing Address - Country:	US
Mailing Address - Phone:	817-465-3241
Mailing Address - Fax:	817-472-4878
Practice Address - Street 1:	3301 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:	ARLINGTON
Practice Address - State:	TX
Practice Address - Zip Code:	76015-2908
Practice Address - Country:	US
Practice Address - Phone:	817-465-3241
Practice Address - Fax:	817-472-4878
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-05-18
Last Update Date:	2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

State	Identifier ID	ID Type	Issuer
SD	0124030	Medicaid
NJ	9073906	Medicaid
AL	HOS0675N	Medicaid
GA	000953873X	Medicaid
FL	010333100	Medicaid
TX	020950401	Medicaid
MS	04458031	Medicaid
MA	1001337	Medicaid
NV	100504252	Medicaid
AZ	629925	Medicaid
MN	104778700	Medicaid
WA	3025210	Medicaid
	HH0579	Other	BLUE CROSS
MO	015873904	Medicaid
PA	100858965000	Medicaid
OK	200041950A	Medicaid
OH	2483889	Medicaid
IA	0555599	Medicaid
AR	149056105	Medicaid
LA	1702340	Medicaid
IN	200373600A	Medicaid
	203282400	Other	DEPT OF LABOR
NM	21501505	Medicaid
VA	4506758	Medicaid
TN	0450675	Medicaid
OR	100364	Medicaid
NC	4500675	Medicaid
ID	807271800	Medicaid
CA	XHSP33592	Medicaid
KS	200260770A	Medicaid
CO	37308777	Medicaid
MD	401533900	Medicaid
CO	37308777	Medicaid
IL	=========001	Medicaid
AL	HOS0675N	Medicaid
	450675	Medicare Oscar/Certification