Rehab Sport Center

LBN: West Texas Rehabilitation Center
Rehab Sport Center is an health care organization with primary practice located at 2074 Antilley Rd Suite 100, Abilene TX 79606-5209. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. West Texas Rehabilitation Center can be contacted via phone (325) 437-1219, or through Childs, Tim via phone (325) 793-3400.

Contact Information

Primary practice address
2074 Antilley Rd Suite 100 Abilene TX 79606-5209
Fax:
Website:
Authorized official contact:
Name: Childs, Tim

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1699804732
LBN Legal business name West Texas Rehabilitation Center
DBA Doing business as Rehab Sport Center
Authorized official Childs, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 23rd, 2008 - about 17 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 1699804732 NPPES
Texas MEDICAID 137920805

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