POST ACUTE MEDICAL AT SAN ANTONIO LLC (NPI# 1487738126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487738126 |
| Entity Type | Organization |
| Organization Name | POST ACUTE MEDICAL AT SAN ANTONIO LLC |
| Other Organization Name | LACKLAND CLINIC |
| Practice Address |
1022 Bong Avenue Lackland Afb TX 78236 |
| Mailing Address |
1828 Good Hope Road Suite 102 Enola PA 17019-1203 |
| Practice Telephone | 2106719448 |
| Practice Fax Number | 2106719447 |
| Mailing Telephone | 7177319660 |
| Mailing Fax Number | 2108298741 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | ANTHONY MISITANO (PRESIDENT) |
| Authorized Official Telephone | 7177319660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
000643 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lackland Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538104112 | Post Acute Medical At San Antonio LLC | Clinic/Center | 7616 Culebra Rd, Suite 115, San Antonio, TX 78251-1476 | 2006-06-18 |
| 1275568586 | Post Acute Medical At San Antonio LLC | Skilled Nursing Facility | 5101 Medical Dr, San Antonio, TX 78229-4801 | 2006-07-12 |
| 1033155007 | Post Acute Medical At San Antonio LLC | Clinic/Center | 8601 Village Dr, Suite 220, San Antonio, TX 78217-5512 | 2006-06-20 |
| 1376588228 | Post Acute Medical At San Antonio LLC | Rehabilitation Hospital | 5101 Medical Dr, San Antonio, TX 78229-4801 | 2006-06-17 |
| Street Address |
1022 BONG AVENUE |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
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| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.