Organization
SAN ANGELO HOSPITAL LP
Active
Other names
San Angelo Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
(325) 947-6550
Mailing address
PO BOX 849051, DALLAS, TX 75284-9051
(325) 949-9511
(325) 947-6550
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094719402
—
TX
05
—
112693001
—
TX
05
—
112693002
—
TX
05
—
121754904
—
TX
Enumeration date
05/15/2006
Last updated
01/08/2018
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