Provider Demographics
NPI:1083661953
Name:ASC HEALTHCARE, INC
Entity Type:Organization
Organization Name:ASC HEALTHCARE, INC
Other - Org Name:ACCUHEALTH TECHNOLOGIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-407-4108
Mailing Address - Street 1:200 S. 10TH STREET
Mailing Address - Street 2:BOX 130
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1457
Mailing Address - Country:US
Mailing Address - Phone:888-407-4108
Mailing Address - Fax:956-687-9989
Practice Address - Street 1:200 S 10TH ST STE 103
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4877
Practice Address - Country:US
Practice Address - Phone:888-407-4108
Practice Address - Fax:956-202-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008574251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH449HOtherBCBS
TX162830701Medicaid
TX679367Medicare ID - Type Unspecified