Beacon Integrated Healthcare is a primary clinic (Nurse Practitioner - Family) in De Kalb, Texas. The current practice location for Beacon Integrated Healthcare is 118 Wood St Ofc 1, De Kalb, Texas. For appointments, you can reach them via phone at
(903) 417-5377. The mailing address for Beacon Integrated Healthcare is Po Box 369, De Kalb, Texas and phone number is (903) 417-5377.
Beacon Integrated Healthcare is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1164176749. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(903) 417-5377.
Primary Care Clinic Profile
| Full Name | Beacon Integrated Healthcare |
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| Speciality | Nurse Practitioner - Family |
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| Location | 118 Wood St Ofc 1, De Kalb, Texas |
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| Authorized Official Name and Position | Antonio D. Ingram (CEO) |
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| Authorized Official Contact | 9034175377 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beacon Integrated Healthcare
Po Box 369
De Kalb
TX 75559-0369
Ph: (903) 417-5377 | Beacon Integrated Healthcare
118 Wood St Ofc 1
De Kalb
TX 75559-2112
Ph: (903) 417-5377 |
NPI Details:
| NPI Number | 1164176749 |
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| Provider Enumeration Date | 02/11/2022 |
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| Last Update Date | 02/11/2022 |
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Medical Identifiers
Medical identifiers for Beacon Integrated Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164176749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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