San Angelo Healthcare, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SAN ANGELO HEALTHCARE, INC.

Practice address

1313 S 1St St
Temple, TX 76504-5762

Phone

(254) 773-4309

Fax

(254) 773-4932

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bob George

Title

President

Phone

(325) 653-1077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Medical Doing business as

Tax ID family

Professional Medical2 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.

• San Angelo Healthcare, Inc

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
  • NPI 1659339612
  NPD tax ID

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447218516",
    "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": "325-658-7035"
        },
        {
            "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": "SAN ANGELO HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-653-1077",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "143522401, 143523201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayan Samavati, DO
• Karen Ann Samford, PAC AND NP
• Brooke Sampson, COTA
• Mahmud Samra
• Sams East Inc
• Becky Sanchez
• Carlos Michael Sanchez, M.A., L.P.C.
• Juan Sanchez, M.D.
• Miles Sanderson
• Gurkarminder Kaur Sandhu, M.D.

• Oxygen Equipment & Supplies (DME) in Temple, TX
• Providers in Temple, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.