Healthcare Provider Details
I. General information
NPI: 1427276534
Provider Name (Legal Business Name): SEARS METHODIST CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 VILLAGE DR SUITE 400
ABILENE TX
79606-8231
US
IV. Provider business mailing address
1 VILLAGE DR SUITE 400
ABILENE TX
79606-8231
US
V. Phone/Fax
- Phone: 325-691-5519
- Fax: 325-698-4582
- Phone: 325-691-5519
- Fax: 325-698-4582
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALVA
L.
WEST
Title or Position: VICE PRESIDENT
Credential: CPA
Phone: 325-691-5519