Kissito Healthcare Midland

LBN: Amity Fellowserve Of Midland, Inc.
Kissito Healthcare Midland is an health care organization with primary practice located at 3203 Sage St , Midland TX 79705-5711. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Amity Fellowserve Of Midland, Inc. can be contacted via phone (432) 683-5403, or through Clarke, Thomas via phone (540) 265-0322.

Contact Information

Primary practice address
3203 Sage St Midland TX 79705-5711
Phone: (432) 683-5403
Fax: (432) 682-5105
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Thomas
Phone: (540) 265-0322

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 132737 Texas

Profile Details

NPI number 1669771366
LBN Legal business name Amity Fellowserve Of Midland, Inc.
DBA Doing business as Kissito Healthcare Midland
Authorized official Clarke, Thomas
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2011
Last updated Nov 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669771366 NPPES
Texas MEDICAID 001019588
Texas Other 004280

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