Healthcare Provider Details

I. General information

NPI: 1588005888
Provider Name (Legal Business Name): CONTINUECARE HOSPITAL OF MIDLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 ANDREWS HWY SUITE 320
MIDLAND TX
79703-4822
US

IV. Provider business mailing address

7800 DALLAS PKWY STE 200
PLANO TX
75024-4082
US

V. Phone/Fax

Practice location:
  • Phone: 432-685-1111
  • Fax:
Mailing address:
  • Phone: 972-943-1225
  • Fax: 972-943-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number100210
License Number StateTX

VIII. Authorized Official

Name: LISA YOUNG
Title or Position: CFO
Credential:
Phone: 972-943-1225