Provider Demographics
NPI:1023015120
Name:MILLWOOD HOSPITAL LP
Entity type:Organization
Organization Name:MILLWOOD HOSPITAL LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO SRVP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1011 N COOPER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-5517
Mailing Address - Country:US
Mailing Address - Phone:817-261-3121
Mailing Address - Fax:817-261-7574
Practice Address - Street 1:1011 N COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5517
Practice Address - Country:US
Practice Address - Phone:817-261-3121
Practice Address - Fax:817-261-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000765283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021189801Medicaid
TX454012Medicare Oscar/Certification