NPIMap

Organization Active NPI

Alcohol and Drug Abuse Council for the Concho Valley

  • Substance Abuse Rehabilitation Facility
  • San Angelo, TX
National Provider Identifier
1053867267
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
13428 Issued in TX
Legal business name
ALCOHOL AND DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY
Practice address
3553 Houston Harte
San Angelo, TX 76902
Phone
(325) 224-3481
Fax
(325) 224-4923
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Sanchez, CEO
Title
Ceo
Phone
(325) 224-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 13428 TX Primary

Addresses

Primary practice location

3553 Houston Harte
San Angelo, TX 76902

Mailing address

3553 Houston Harte
San Angelo, TX 76902
Phone (325) 224-3481

National Provider Directory

National Provider Directory
Tax ID family
Alcohol and Drug Abuse Council for the Concho Valley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3553 W Houston Harte Expy
San Angelo, TX 76901
Phone (325) 224-3481

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1053867267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 HOUSTON HARTE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76902",
            "telephone_number": "325-224-3481",
            "fax_number": "325-224-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 HOUSTON HARTE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76902",
            "telephone_number": "325-224-3481",
            "fax_number": "325-224-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-224-3481",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "13428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.