NPI Code Details Logo

NPI 1174574370

NPI 1174574370 : OUTREACH HEALTH SERVICES OF THE PANHANDLE LLC : AMARILLO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174574370
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OUTREACH HEALTH SERVICES OF THE PANHANDLE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/12/2006
-----------------------------------------------------
    Last Update Date     |    02/03/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2007 S COULTER ST 
-----------------------------------------------------
    City                 |    AMARILLO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79106-2521
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    806-665-0301
-----------------------------------------------------
    Fax                  |    806-665-2584
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12900 FOSTER ST SUITE 400
-----------------------------------------------------
    City                 |    OVERLAND PARK
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66213-2704
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ASSISTANT SECRETARY
-----------------------------------------------------
    Name                 |    MS. RUTH C. SCHWARTZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    913-814-2288
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    014405
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.