Ted M. Nicklaus in Amarillo - Skilled Nursing Facility
Ted M. Nicklaus - NPI 1699964098
Ted M. Nicklaus is a Skilled Nursing Facility in Amarillo, Texas. Ted M. Nicklaus practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ted M. Nicklaus is 1699964098. The last update date is 2007-11-03.
Ted M. Nicklaus's current location address is Po Box 7066, Amarillo, Texas. You can contact this provider via phone number 8064635111 and fax number 8064635223. The mailing address for Ted M. Nicklaus is Po Box 7066, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ted M. Nicklaus |
|---|---|
| Address | Po Box 7066, Amarillo, Texas |
| Phone Number | 8064635111 |
| Fax Number | 8064635223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL RE |
|---|---|
| Authorized Official Name | Klagge Sue Constance |
| Telephone Number | 8064635111 |
NPI Number Detail
| NPI Number | 1699964098 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-11-03 |
Provider Mailing Address Detail
| Address | Po Box 7066 |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791147066 |
| Phone Number | 8064635111 |
| Fax Number | 8064635223 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | D2283 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique identification code assigned to Ted M. Nicklaus by the Centers for Medicare & Medicaid Services?
The Ted M. Nicklaus has been issued the NPI (National Provider Identifier) 1699964098. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ted M. Nicklaus is physically located?
The Ted M. Nicklaus is situated at the following address: Po Box 7066, Amarillo, TX 791147066.
What is Ted M. Nicklaus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ted M. Nicklaus's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Ted M. Nicklaus receive the assignment of its 1699964098 from the Centers for Medicare & Medicaid Services?
The Ted M. Nicklaus was issued its 1699964098 by the Centers for Medicare & Medicaid Services on 2007-10-22.
As of what date were the Ted M. Nicklaus's details last updated?
The information pertaining to the Ted M. Nicklaus, including its address, specialty, and other details, was most recently updated on 2007-11-03.