IHS Aquisition No 139 Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

129905 Issued in TX

Legal business name

IHS AQUISITION NO 139 INC

Practice address

300 N Bynum St
Lufkin, TX 75904-2707

Phone

(936) 637-7215

Fax

(936) 637-2368

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tim Trybus

Title

Cfo

Phone

(443) 539-2354

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Parkwood Place Healthcare Center Doing business as

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1689672198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N BYNUM ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042707",
            "telephone_number": "936-637-7215",
            "fax_number": "936-637-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N BYNUM ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042707",
            "telephone_number": "936-637-7215",
            "fax_number": "936-637-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS AQUISITION NO 139 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "TRYBUS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-539-2354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "129905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5215",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwood Place Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Andrew Hurst, MD
• Nosakhare Idehen, DMD
• Patrick Imonitie Igharosa, MD
• Christopher Max Iguess, FNP
• IHS Acquisition No 139 Inc
• Impact Physician Group, Psychiatry LLC
• Impact Physician Group, Texas LLC
• In & Out Clinic PA
• Charlotte Ann Ingle, M.A.
• Shaleta Ingram, CNP

• Skilled Nursing Facility in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.