Organization Active NPI

San Angelo Hospital LP

  • Rehabilitation Hospital Unit
  • San Angelo, TX
National Provider Identifier
1659394617
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000056 Issued in TX
Legal business name
SAN ANGELO HOSPITAL LP
Practice address
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone
(325) 949-9511
Fax
(325) 947-6550
NPI assigned
Jul 25, 2006
Last updated
Jan 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN ANGELO HOSPITAL LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000056 TX Primary

Addresses

Primary practice location

3501 Knickerbocker Rd
San Angelo, TX 76904-7610

Mailing address

PO Box 849051
Dallas, TX 75284-9051
Phone (325) 949-9511

Other identifiers 1

IdentifierTypeStateIssuer
112693003MedicaidTX

National Provider Directory

National Provider Directory
Part of
San Angelo Community Me

Locations

2141 Hamilton Way
Slp Ctr
San Angelo, TX 76904
Phone (325) 947-6673

2142 Sunset Dr
Slp Ctr
San Angelo, TX 76904
Phone (325) 947-6673

3336 Loop 306
San Angelo, TX 76904
Phone (325) 947-2582

3350 Executive Dr
Ste 104
San Angelo, TX 76904
Phone (325) 947-6413

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

3605 Executive Dr
Ste 105
San Angelo, TX 76904
Phone (325) 947-6089

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1659394617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849051",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849051",
            "telephone_number": "325-949-9511",
            "fax_number": "325-947-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047610",
            "telephone_number": "325-949-9511",
            "fax_number": "325-947-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO HOSPITAL LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN ANGELO HOSPITAL LP",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112693003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 2018; 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.