Active NPI
Select Rehab of East Texas, Inc.
- Oxygen Equipment & Supplies (DME)
- Longview, TX
National Provider Identifier
1215034665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- SELECT REHAB OF EAST TEXAS, INC.
- Practice address
- 802 N High St
Longview, TX 75601-5378 - Phone
- (903) 234-2444
- Fax
- (903) 234-1868
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vicki L Hamm
- Title
- President
- Phone
- (903) 234-2444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | TX | Primary |
Addresses
Primary practice location
802 N High St
Longview, TX 75601-5378
Mailing address
802 N High St
Longview, TX 75601-5378
Phone (903) 234-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530610 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Select Medical of East Texas
National Provider Directory
National Provider Directory- Tax ID family
- Select Medical of East Texas
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Longview, TX
- NPI 1336114990
Locations
802 N High St
Longview, TX 75601
Phone (903) 234-2444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215034665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 N HIGH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015378",
"telephone_number": "903-234-2444",
"fax_number": "903-234-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N HIGH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015378",
"telephone_number": "903-234-2444",
"fax_number": "903-234-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT REHAB OF EAST TEXAS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HAMM",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-234-2444",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "530610",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Medical of East Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.