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PROFESSIONAL HEALTH SERVICES INC NPI 1720483696


NPI Information

NPI: 1720483696
Provider Name: PROFESSIONAL HEALTH SERVICES INC

Doing Business As: HUMAN PERFORMANCE AND REHAB

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 45D2108306

Address:
4351 RIDGEMONT DR
STE C
ABILENE, TX
ZIP 79606
Phone: (325) 695-4244
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PROFESSIONAL HEALTH SERVICES INC is a durable medical equipment medical supplies in Abilene, 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. PROFESSIONAL HEALTH SERVICES INC NPI is 1720483696. The provider is registered as an organization entity type.
The provider Is Doing Business As Human Performance And Rehab.

The provider's business location address is:

4351 RIDGEMONT DR
STE C
ABILENE, TX
ZIP 79606-746
Phone: (325) 695-4244
Fax: (325) 698-4547

The provider's authorized official is Kenneth G. Lain .
The authorized official title is President / Administrator and has the following contact phone number (325) 695-4244.

The CLIA number assigned to this NPI record is 45D2108306 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 1/18/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1456687MEDICARE PINTEXAS

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: 5/5/2024

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