SAN ANGELO HOSPITAL LP (NPI# 1194776104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194776104 |
| Entity Type | Organization |
| Organization Name | SAN ANGELO HOSPITAL LP |
| Other Organization Name | SAN ANGELO COMMUNITY MEDICAL CENTER |
| Practice Address |
3501 Knickerbocker Rd San Angelo TX 76904-7610 |
| Mailing Address |
Po Box 849051 Dallas TX 75284-9051 |
| Practice Telephone | 3259499511 |
| Practice Fax Number | 3259476550 |
| Mailing Telephone | 3259499511 |
| Mailing Fax Number | 3259476550 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 000056 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112693001 | 05 | |
| TX | 112693002 | 05 | |
| TX | 121754904 | 05 | |
| TX | 094719402 | 05 |
| Other Name | Type Code |
|---|---|
| San Angelo Community Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394617 | San Angelo Hospital Lp | Rehabilitation Unit | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-07-25 |
| Street Address |
3501 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622403 | Randell Gene Matthews | Specialist/Technologist | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-03-08 |
| 1700231248 | Kyle Mills | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-05-03 |
| 1710341508 | Anthony Mcdonald | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-08 |
| 1972966000 | Yotham Fraenkel | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-05 |
| 1386012037 | Crystal Sustaita | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-09-11 |
| 1659769198 | Joe Riley Mcfarland | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-01-07 |
| 1154748671 | Caesasonia Pascual Agatep | Nurse Practitioner | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-03-21 |
| 1588009807 | San Angelo Emergency Medicine Associates Pa | Physician Assistant | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2013-04-30 |
| 1982048682 | Crystal Collin Kirkland | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2013-04-24 |
| 1457606154 | Oasis of West Tx Emergency | Physician Assistant | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720491376 | Douglas Fambro | General Acute Care Hospital | 2228 Valleyview Blvd Apt 1307, San Angelo, TX 76904-8717 | 2014-06-10 |
| 1992707228 | Shannon Medical Center | General Acute Care Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.