=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780676072
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SEARS METHODIST CENTERS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2005
-----------------------------------------------------
Last Update Date | 05/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ONE VILLAGE DRIVE SUITE 300
-----------------------------------------------------
City | ABILENE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79606-8244
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-692-4500
-----------------------------------------------------
Fax | 325-692-4585
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | ONE VILLAGE DRIVE SUITE 300
-----------------------------------------------------
City | ABILENE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79606-8244
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-692-4500
-----------------------------------------------------
Fax | 325-692-4585
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | CHERYL HARDING
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 325-692-4500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 00611
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------