| Cactus Nazarene Health Center | |
|
200 Palo Duro Cactus TX 79013-0990 | |
| (806) 934-5755 | |
| (806) 421-2611 |
| Full Name | Cactus Nazarene Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Palo Duro, Cactus, Texas |
| Authorized Official Name and Position | Norissa Aguirre (BILLING) |
| Authorized Official Contact | 8062061494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Nazarene Health Center Po Box 387 Cactus TX 79013-0387 Ph: (806) 934-5755 | Cactus Nazarene Health Center 200 Palo Duro Cactus TX 79013-0990 Ph: (806) 934-5755 |
| NPI Number | 1164903092 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 11/08/2022 |
| Medicare PECOS PAC ID | 7214261916 |
|---|---|
| Medicare Enrollment ID | O20190701000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164903092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Stephanie D Diehlmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790885283 PECOS PAC ID: 8224139621 Enrollment ID: I20070730000578 |
| Provider Name | Aubrey E Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144639840 PECOS PAC ID: 6608097100 Enrollment ID: I20220818003371 |