Organization · Type 2 NPI

Ballinger Memorial Hospital District

Skilled Nursing Facility · San Angelo, TX

NPI number 1376306944 Active

Practice location

2210 Howard Street
San Angelo, TX 76901-1318

Call (325) 944-0561 Map

Fax (325) 944-0562

Mailing address

4150 International Plaza, Suite 200
Fort Worth, TX 76109-4875

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1376306944
Entity type: Organization (Type 2)
Issued: Feb 5, 2024
Last updated: Feb 12, 2024
Status: Active

Other names

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Park Plaza Nursing and Rehabilitation Center · doing business as
Park Plaza Nursing and Rehabilitation Center · doing business as

Authorized official

Mr. Rhett Fricke
Chief Executive Officer
(325) 365-2531

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376306944

Ballinger Memorial Hospital District's National Provider Identifier is 1376306944, issued on Feb 5, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Angelo, TX. The record was last updated on Feb 12, 2024.