Organization Active NPI

Temple Healthcare, Inc

Doing business as Professional Medical

  • Oxygen Equipment & Supplies (DME)
  • Temple, TX
National Provider Identifier
1104964238
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
TEMPLE HEALTHCARE, INC
Doing business as
Professional Medical
Practice address
1313 S 1St St
Temple, TX 76504-5762
Phone
(254) 773-4309
Fax
(254) 773-4932
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Lynette McDonald
Title
General Manager
Phone
(325) 653-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1313 S 1St St
Temple, TX 76504-5762

Mailing address

PO Box 422
San Angelo, TX 76902-0422
Phone (325) 653-1077

Other identifiers 3

IdentifierTypeStateIssuer
143523201MedicaidTX
143522401MedicaidTX
503791OtherTXBLUE CROSS & BLUE SHIELD

Other names 1

  • Professional Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1104964238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769020422",
            "telephone_number": "325-653-1077",
            "fax_number": "325-653-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S 1ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045762",
            "telephone_number": "254-773-4309",
            "fax_number": "254-773-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "325-653-1077"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143523201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143522401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "503791",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.