Provider Demographics
NPI:1427051630
Name:AMERICAN MEDICAL & REHAB COMPANY
Entity type:Organization
Organization Name:AMERICAN MEDICAL & REHAB COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-967-5000
Mailing Address - Street 1:5441 BREWSTER ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-5725
Mailing Address - Country:US
Mailing Address - Phone:210-967-5000
Mailing Address - Fax:210-967-5010
Practice Address - Street 1:5441 BREWSTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-5725
Practice Address - Country:US
Practice Address - Phone:210-967-5000
Practice Address - Fax:210-967-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0059505332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001012633Medicaid
TX531699OtherBLUE CROSS BLUE SHIELD
TX149456903Medicaid
TX310120800OtherUS DEPT OF LABOR
TX149456901Medicaid
TX149456902Medicaid
TX531699OtherBLUE CROSS BLUE SHIELD
TX310120800OtherUS DEPT OF LABOR
TX001012633Medicaid