Active NPI
Seminole Hospital District
- Skilled Nursing Facility
- San Angelo, TX
National Provider Identifier
1306875281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 129631
- Legal business name
- SEMINOLE HOSPITAL DISTRICT
- Practice address
- 902 North Main Street
San Angelo, TX 76903-4077 - Phone
- (325) 655-7391
- Fax
- (325) 653-1413
- NPI assigned
- Jul 2, 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
- Quinda Feil-Duncan, LNFA
- Title
- Vice-President
- Phone
- (325) 655-7391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 116542 | TX | |
| Skilled Nursing Facility | 314000000X | 129631 | TX | Primary |
Addresses
Primary practice location
902 North Main Street
San Angelo, TX 76903-4077
Mailing address
P.O. Box 5661
902 North Main Street
San Angelo, TX 76903-4077
Phone (325) 655-7391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001000551 | Medicaid | TX | |
| 004129 | Other | TX | TDH CONNECT |
Other names 1
- ELSIE GAYER HEALTH CARE CENTER
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rural Health Clinic/Center
- Seminole, TX
- NPI 1467879569
Member Of
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EADCBD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1306875281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5661",
"address_2": "902 NORTH MAIN STREET",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769034077",
"telephone_number": "325-655-7391",
"fax_number": "325-653-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NORTH MAIN STREET",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769034077",
"telephone_number": "325-655-7391",
"fax_number": "325-653-1413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMINOLE HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "FEIL-DUNCAN",
"authorized_official_first_name": "QUINDA",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "325-655-7391",
"authorized_official_credential": "LNFA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "116542",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "129631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001000551",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDH CONNECT",
"identifier": "004129",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELSIE GAYER HEALTH CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.