Basic Information
| Provider Information | |||||||||
| NPI: | 1427276534 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SEARS METHODIST CENTER, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | SEARS METHODIST HOME HEALTH OF AMARILLO | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 VILLAGE DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796068231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3256915519 | ||||||||
| FaxNumber: | 3256984582 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 VILLAGE DR | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796068231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3256915519 | ||||||||
| FaxNumber: | 3256984582 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | WEST | ||||||||
| AuthorizedOfficialFirstName: | ALVA | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3256915519 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | CPA | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.