Mhmr Services For The Concho Valley | |
244 N Magdalen St San Angelo TX 76903-5434 | |
(325) 658-7750 | |
(325) 658-8381 |
Full Name | Mhmr Services For The Concho Valley |
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Speciality | Clinic/Center |
Location | 244 N Magdalen St, San Angelo, Texas |
Authorized Official Name and Position | Gregory J Rowe (CEO) |
Authorized Official Contact | 3256587750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mhmr Services For The Concho Valley 1501 W Beauregard Ave San Angelo TX 76901-4004 Ph: (325) 658-7750 | Mhmr Services For The Concho Valley 244 N Magdalen St San Angelo TX 76903-5434 Ph: (325) 658-7750 |
NPI Number | 1164479192 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 01/20/2023 |
Certification Date | 01/20/2023 |
Medicare PECOS PAC ID | 7719936533 |
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Medicare Enrollment ID | O20050119000856 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164479192 | NPI | - | NPPES |
109483102 | Medicaid | TX | |
127323701 | Medicaid | TX | |
127323702 | Medicaid | TX | |
127323704 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Sherry D Crowder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609057108 PECOS PAC ID: 5496831380 Enrollment ID: I20080318000235 |
Provider Name | Cynthia M Sigur |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619151636 PECOS PAC ID: 2062583016 Enrollment ID: I20080623000612 |
Provider Name | Charlotte L Lindsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326204405 PECOS PAC ID: 2466528302 Enrollment ID: I20080829000252 |
Provider Name | Christie N Winfrey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235426172 PECOS PAC ID: 4688822661 Enrollment ID: I20120917000566 |
Provider Name | Johnes B Monyoncho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
Provider Name | Sally Dyan Reese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538463559 PECOS PAC ID: 8224268925 Enrollment ID: I20140225001058 |
Provider Name | Uchenna O Nwanna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386070977 PECOS PAC ID: 4789811696 Enrollment ID: I20150105001715 |
Provider Name | Tera K Waldroup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710250055 PECOS PAC ID: 7719204320 Enrollment ID: I20150319000947 |
Provider Name | Heath B Foreman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871819755 PECOS PAC ID: 6709192883 Enrollment ID: I20150903002532 |
Provider Name | Anthony Ross Mcdonald |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710341508 PECOS PAC ID: 8820382781 Enrollment ID: I20160816000940 |
Provider Name | Consuela D Witherspoon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
Provider Name | Leandra M Pecina |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720856263 PECOS PAC ID: 8820433006 Enrollment ID: I20240227003336 |
Provider Name | Blake A Perez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396314852 PECOS PAC ID: 7517304959 Enrollment ID: I20240321001497 |
Provider Name | Armando Dominguez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033459052 PECOS PAC ID: 7214376615 Enrollment ID: I20240418000930 |
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Pat L Pastors Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-234-5164 Fax: 325-610-6122 | |
Transforming Lives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3157 Executive Dr, San Angelo, TX 76904 Phone: 325-757-1275 | |
Rhonda Turpin, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Colorado Ave, San Angelo, TX 76901 Phone: 661-524-5889 | |
Village Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W Harris Ave Ste 3h, San Angelo, TX 76903 Phone: 325-386-6300 Fax: 325-202-3001 |