San Angelo Health Care, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SAN ANGELO HEALTH CARE, LLC

Practice address

737 Knickerbocker Rd
San Angelo, TX 76903-8777

Phone

(325) 653-1077

Fax

(325) 658-7035

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

Lynette McDonald

Title

General Manager

Phone

(325) 653-1077

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Professional Medical Doing business as

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1699733733",
    "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": "737 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769038777",
            "telephone_number": "325-653-1077",
            "fax_number": "325-658-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "325-653-1077"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "503791",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142999501, 015547501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Angelo Cardiovascular Center of Excellence, PLLC
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• San Angelo Emergency Physicians
• San Angelo Endodontics, PC
• San Angelo ER LLC
• San Angelo Hospital LP
• San Angelo Hospital LP
• San Angelo Hospital, LP
• San Angelo I Enterprises, LLC
• San Angelo II Enterprises, LLC

• Oxygen Equipment & Supplies (DME) in San Angelo, TX
• Providers in San Angelo, 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 9, 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.