| Regence Health Network, Inc. | |
|
850 Martin Rd Amarillo TX 79107-6814 | |
| (806) 374-7341 | |
| (806) 374-0316 |
| Full Name | Regence Health Network, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 850 Martin Rd, Amarillo, Texas |
| Authorized Official Name and Position | Rick Love (CEO) |
| Authorized Official Contact | 8062938561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regence Health Network, Inc. 2801 W 8th St Plainview TX 79072-6737 Ph: (806) 293-8561 | Regence Health Network, Inc. 850 Martin Rd Amarillo TX 79107-6814 Ph: (806) 374-7341 |
| NPI Number | 1295952018 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295952018 | NPI | - | NPPES |
| 135077909 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | F1756 (Texas) | Secondary |
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