Exceptional Amarillo S Coulter LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

EXCEPTIONAL AMARILLO S COULTER LLC

Practice address

5800 S Coulter St
Amarillo, TX 79119-6203

Phone

(469) 341-7800

Fax

(346) 215-1007

NPI assigned

Feb 15, 2019

Organization subpart

No

Name

Saeed S Mahboubi

Title

Cfo

Phone

(469) 341-7800

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2020.

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1669938437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196203",
            "telephone_number": "469-341-7800",
            "fax_number": "346-215-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196203",
            "telephone_number": "469-341-7800",
            "fax_number": "346-215-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL AMARILLO S COULTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "MAHBOUBI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-7800"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Everett, PHARMD
• Sheree Annette Evers, PTA
• Derek Allen Ewell, D.O.
• Rylee Jo Ewing, PHARMD
• Exceptional Amarillo N Coulter LLC
• Exceptional H C Amarillo LLC
• Exceptional Health Care Amarillo LLC
• Exceptional Physicians Group Amarillo Hospital PLLC
• Exceptional Physicians Group Amarillo North PLLC
• Exceptional Physicians Group Amarillo PLLC

• All providers in Amarillo, TX
• Emergency Care Clinic/Center in Texas

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