San Angelo Healthcare, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN ANGELO HEALTHCARE, INC

Doing business as

Professional Medical

Practice address

4102 Buffalo Gap Rd Ste J
Abilene, TX 79605-7243

Phone

(325) 672-1585

Fax

(325) 672-1475

NPI assigned

May 1, 2006

Last updated

Mar 14, 2008By the provider in NPPES

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 2

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.

  dba Professional Medical

  • Oxygen Equipment & Supplies (DME)
  • Temple, TX
  • NPI 1447218516
  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": "1205452800000",
    "number": "1659339612",
    "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": "4102 BUFFALO GAP RD STE J",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057243",
            "telephone_number": "325-672-1585",
            "fax_number": "325-672-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-03-14",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143518201, 143518202",
            "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"
        }
    ]
}

• Nana Ama Sam, PHARM D
• Sam's East, Inc (Sam's Vision Center 30-8226)
• Samantha H. Goodman, MD, PLLC
• Sams East Inc (Sams Pharmacy)
• Samuel S. Maroney, DO, PA
• Amira Sanchez
• Gabriella M Sanchez
• Klarisa Nicole Sanchez
• Rafael G. Sanchez, M.D.
• Madelyn Sandefur, CCC-SLP

• Durable Medical Equipment & Medical Supplies in Abilene, TX
• Providers in Abilene, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.