Professional Medical

LBN: San Angelo Health Care, Llc
Professional Medical is an health care organization with primary practice located at 737 Knickerbocker Rd , San Angelo TX 76903-8777. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. San Angelo Health Care, Llc can be contacted via phone (325) 653-1077, or through Mcdonald, Lynette via phone (325) 653-1077.

Contact Information

Primary practice address
737 Knickerbocker Rd San Angelo TX 76903-8777
Phone: (325) 653-1077
Fax: (325) 658-7035
Website:
Map and Directions
Authorized official contact:
Name: Mcdonald, Lynette
Phone: (325) 653-1077

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1699733733
LBN Legal business name San Angelo Health Care, Llc
DBA Doing business as Professional Medical
Authorized official Mcdonald, Lynette
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Aug 9th, 2013 - about 11 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 1699733733 NPPES
Texas Other 503791 BLUE CROSS/BLUE SHIELD
Texas MEDICAID 142999501, 015547501 BLUE CROSS/BLUE SHIELD

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