IRON HORSE AMIGOS (NPI# 1255842555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842555 |
| Entity Type | Organization |
| Organization Name | IRON HORSE AMIGOS |
| Other Organization Name | ANGELO MRI |
| Practice Address |
4114 S Jackson Street San Angelo TX 76903-6377 |
| Practice Telephone | 3257036741 |
| Mailing Telephone | 3257036741 |
| Mailing Fax Number | 3257036742 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | CLINTON REICHENAUS (PARTNER) |
| Authorized Official Telephone | 3252348889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 1036DC | 01 |
| Other Name | Type Code |
|---|---|
| ANGELO MRI | Doing Business As Name - Organization |
| Street Address |
4114 S JACKSON STREET |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-6377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518869 | Texas Advanced Imaging LLC | Clinic/Center | 4907 Sandhill Dr Ste D, Sugar Land, TX 77479-5352 | 2020-11-06 |
| 1801401229 | Jason A Ramsey M D P A | Clinic/Center | 8214 Milwaukee Ave Ste 200, Lubbock, TX 79424-0923 | 2020-09-11 |
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1578199733 | Prestige Diagnostic Imaging LLC | Clinic/Center | 11240 Vista Del Sol Dr Ste A, El Paso, TX 79936-5236 | 2020-03-19 |
| 1740815364 | Prestige Diagnostic Imaging | Clinic/Center | 11240 Vista Del Sol Dr., El Paso, TX 79936-5236 | 2020-03-04 |
| 1457991689 | Inclusive Diagnostics, Inc | Clinic/Center | 12000 Richmond Ave Ste 125, Houston, TX 77082-2431 | 2020-01-15 |
| 1467006338 | Carroll Ave Imaging LLC | Clinic/Center | 1015 N Carroll Ave Ste 2001, Dallas, TX 75204-6613 | 2019-07-30 |
| 1316404635 | Alliance Mri Pearland LLC | Clinic/Center | 1910 Country Place Pkwy Ste 154, Pearland, TX 77584-2144 | 2019-02-22 |
| 1073080875 | North Texas Advanced Imaging LLC | Clinic/Center | 6160 Windhaven Pkwy Ste 100, Plano, TX 75093-2143 | 2018-10-30 |
| 1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on IRON HORSE AMIGOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.