Permian Basin Rehabilitation Center For Crippled Children And Adults

LBN: Permian Basin Rehabilitation Center For Crippled Children And Adults
Permian Basin Rehabilitation Center For Crippled Children And Adults is an health care organization with primary practice located at 620 N Alleghaney Ave , Odessa TX 79761-4408. The organization recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Permian Basin Rehabilitation Center For Crippled Children And Adults can be contacted via phone (432) 332-8244, or through Kuehler, John Wade via phone (432) 332-8244.

Contact Information

Primary practice address
620 N Alleghaney Ave Odessa TX 79761-4408
Phone: (432) 332-8244
Fax: (432) 580-7428
Website:
Map and Directions
Authorized official contact:
Name: Kuehler, John Wade
Phone: (432) 332-8244

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1104958701
LBN Legal business name Permian Basin Rehabilitation Center For Crippled Children And Adults
DBA Doing business as
Authorized official Kuehler, John Wade
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 13th, 2016 - about 8 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 1104958701 NPPES
Texas Other 051CT BCBS GROUP NUMBER
Texas Other 5589378 BCBS GROUP NUMBER
Texas Other 531269 BCBS GROUP NUMBER
Texas MEDICAID 094460501 BCBS GROUP NUMBER

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