| Callahan County Health And Wellness Clinic Pllc | |
|
102 Archer St Clyde TX 79510-4225 | |
| (325) 893-1010 | |
| Not Available |
| Full Name | Callahan County Health And Wellness Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Archer St, Clyde, Texas |
| Authorized Official Name and Position | Denise D Jones (ADMINISTRATOR) |
| Authorized Official Contact | 3256954133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callahan County Health And Wellness Clinic Pllc 4400 Buffalo Gap Rd Ste 2400c Abilene TX 79606-2723 Ph: (132) 569-5413 | Callahan County Health And Wellness Clinic Pllc 102 Archer St Clyde TX 79510-4225 Ph: (325) 893-1010 |
| NPI Number | 1619615663 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 0648645747 |
|---|---|
| Medicare Enrollment ID | O20230403001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619615663 | NPI | - | NPPES |
| AP113595 | Other | TX | APN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel P Parkhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871773218 PECOS PAC ID: 2062466451 Enrollment ID: I20050309000190 |
| Provider Name | Shannon Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004358 PECOS PAC ID: 2062775364 Enrollment ID: I20180419002284 |
Resourcecare Clyde Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1712 North Access Road, Clyde, TX 79510 Phone: 325-893-4010 Fax: 325-893-4035 |