Provider Demographics
NPI:1255359089
Name:NATIONAL HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:NATIONAL HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-780-0098
Mailing Address - Street 1:PO BOX 53086
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79453-3086
Mailing Address - Country:US
Mailing Address - Phone:806-780-0098
Mailing Address - Fax:806-780-0207
Practice Address - Street 1:8004 INDIANA AVE
Practice Address - Street 2:STE B3
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2036
Practice Address - Country:US
Practice Address - Phone:806-780-0098
Practice Address - Fax:806-780-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM45075239Medicaid
TX530582OtherBLUE CROSS BLUE SHIELD TX
TX1256610001Medicare NSC