Missionary Baptist Foundation of America, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

15657 Issued in TX

Legal business name

MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC

Practice address

1003 Loop Rd
Alpine, TX 79830-3229

Phone

(432) 837-3343

Fax

(806) 837-7076

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Sarah B Rice

Title

Director of Operations

Phone

(806) 747-3447

Specialties & licenses 1

Addresses

Other names 1

• Alpine Valley Care Center Doing business as

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730150657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 13TH ST",
            "address_2": "SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013940",
            "telephone_number": "806-747-3447",
            "fax_number": "806-747-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 LOOP RD",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798303229",
            "telephone_number": "432-837-3343",
            "fax_number": "806-837-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONARY BAPTIST FOUNDATION OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "806-747-3447"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "15657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mistie Lea McBride, DPT
• Amber Gayle McMullan, MPT
• Med-Trans Corporation
• Druanne R Mills
• Lidiore John A. Miranda
• Gerhard Moeller, M.D.
• Mehran Moradi, DO
• Kelly Joann Newman, LMT, PLT
• David Frederik Nitschmann, MD
• Shirley Ann Pearce, BS, LVN

• All providers in Alpine, TX
• Nursing Facility/Intermediate Care Facility in Texas

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