| Regence Health Network Inc | |
|
715 Amarillo St Plainview TX 79072-6743 | |
| (806) 293-8561 | |
| (806) 291-0072 |
| Full Name | Regence Health Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 Amarillo St, Plainview, Texas |
| Authorized Official Name and Position | Rick C Love (CEO) |
| Authorized Official Contact | 8062938561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 715 Amarillo St Plainview TX 79072-6743 Ph: (806) 293-8561 |
| NPI Number | 1114925658 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 02/19/2009 |
| Medicare PECOS PAC ID | 5698682557 |
|---|---|
| Medicare Enrollment ID | O20170228000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114925658 | NPI | - | NPPES |
| 135077904 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | F1756 (Texas) | Primary |
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