SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Alzheimer Center
San Angelo, Texas
Provider NPI: 1295766798
Organization Information:Organization Name: SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
Practice Location:
438 E HOUSTON HARTE EXY POB5661 SAN ANGELO, TX 76903 US
Tel: 325-655-7391 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
438 E HOUSTON HARTE EXY POB5661 SAN ANGELO, TX 76903 US
Tel: 325-655-7391 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | TX | 100313 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 100313 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 127690 |
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | TX | 127690 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
TDH CONNECT | 005414 | TX | 01 |
001001699 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin