Provider Demographics
NPI:1730418195
Name:BAY AREA HEALTHCARE GROUP, LTD.
Entity type:Organization
Organization Name:BAY AREA HEALTHCARE GROUP, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOSIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-878-1101
Mailing Address - Street 1:PO BOX 8991
Mailing Address - Street 2:3315 ALAMEDA
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78468-8991
Mailing Address - Country:US
Mailing Address - Phone:361-761-1000
Mailing Address - Fax:361-857-5960
Practice Address - Street 1:7101 SOUTH PADRE ISLAND DRIVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78468
Practice Address - Country:US
Practice Address - Phone:361-761-1000
Practice Address - Fax:361-857-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital