Provider Demographics
NPI:1962721860
Name:CAREMOR HEALTH SERVICES
Entity type:Organization
Organization Name:CAREMOR HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PSHIGODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-665-5571
Mailing Address - Street 1:1708 N HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-4130
Mailing Address - Country:US
Mailing Address - Phone:806-665-5571
Mailing Address - Fax:806-665-8986
Practice Address - Street 1:1708 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-4130
Practice Address - Country:US
Practice Address - Phone:806-665-5571
Practice Address - Fax:806-665-8986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017077101332B00000X
TX108474002332B00000X
TX332B00000X
TX1265402077332BC3200X
TX01077110332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies