CCN: 455061 NPI: 1306875281 Organization

ELSIE GAYER HEALTH CARE CENTER

902 NORTH MAIN STREET
SAN ANGELO, TX 769034077

Contact Information

Phone 3256557391
Fax 3256531413
Enumeration Date 2006-07-02
Last Updated 2015-09-24

Taxonomies

Code: 314000000X License State: TX License: 116542
Code: 314000000X (Primary) License State: TX License: 129631

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 41660

providerType 38

vbpAdjustment 1.0100771903

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41660

providerType 38

specialPaymentIndicator

carrierCode 04412

localityCode 99