Provider Demographics
NPI:1467119628
Name:EXCEPTIONAL HEALTH CARE AMARILLO LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL HEALTH CARE AMARILLO LLC
Other - Org Name:AMARILLO COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL SERVICES ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-341-7800
Mailing Address - Street 1:PO BOX 192428
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8519
Mailing Address - Country:US
Mailing Address - Phone:469-341-7800
Mailing Address - Fax:
Practice Address - Street 1:2101 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2513
Practice Address - Country:US
Practice Address - Phone:469-341-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital