Provider Demographics
NPI:1588005888
Name:CONTINUECARE HOSPITAL OF MIDLAND, INC.
Entity Type:Organization
Organization Name:CONTINUECARE HOSPITAL OF MIDLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-943-1225
Mailing Address - Street 1:7800 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4082
Mailing Address - Country:US
Mailing Address - Phone:972-943-1225
Mailing Address - Fax:972-943-6401
Practice Address - Street 1:4214 ANDREWS HWY
Practice Address - Street 2:SUITE 320
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4822
Practice Address - Country:US
Practice Address - Phone:432-685-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHC COMMUNITY CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-15
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282E00000X
TX100210282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452117Medicare Oscar/Certification
TX452117Medicare PIN