| Carevide | |
|
1211 E 6th St Ste 300 Bonham TX 75418-4094 | |
| (903) 583-6155 | |
| (903) 583-3158 |
| Full Name | Carevide |
|---|---|
| Speciality | Clinic/Center |
| Location | 1211 E 6th St Ste 300, Bonham, Texas |
| Authorized Official Name and Position | Michelle Carter (CEO) |
| Authorized Official Contact | 9034555986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carevide Po Box 1908 Greenville TX 75403-1908 Ph: (903) 455-5986 | Carevide 1211 E 6th St Ste 300 Bonham TX 75418-4094 Ph: (903) 583-6155 |
| NPI Number | 1184607723 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 6305735150 |
|---|---|
| Medicare Enrollment ID | O20101201000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184607723 | NPI | - | NPPES |
| 019055501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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