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SELECT REHAB OF EAST TEXAS INC. NPI 1215034665


NPI Information

NPI: 1215034665
Provider Name: SELECT REHAB OF EAST TEXAS, INC.

Doing Business As: SELECT MEDICAL OF EAST TEXAS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
802 N HIGH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 234-2444
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SELECT REHAB OF EAST TEXAS, INC. is a durable medical equipment medical supplies in Longview, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SELECT REHAB OF EAST TEXAS, INC. NPI is 1215034665. The provider is registered as an organization entity type.
The provider Is Doing Business As Select Medical Of East Texas.

The provider's business location address is:

802 N HIGH ST
LONGVIEW, TX
ZIP 75601-378
Phone: (903) 234-2444
Fax: (903) 234-1868

The provider's authorized official is Vicki L Hamm .
The authorized official title is President and has the following contact phone number (903) 234-2444.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesTEXASYes
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesTEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1530610OTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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