| Ccmh | |
|
412 W South St Henrietta TX 76365-3348 | |
| (940) 538-0454 | |
| (940) 235-3400 |
| Full Name | Ccmh |
|---|---|
| Speciality | Family Medicine |
| Location | 412 W South St, Henrietta, Texas |
| Authorized Official Name and Position | Jacqueline Webb (ADMINISTRATION) |
| Authorized Official Contact | 8067760607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccmh 1500 Broadway, Suite 1000 Lubbock TX 79401 Ph: (806) 791-1591 | Ccmh 412 W South St Henrietta TX 76365-3348 Ph: (940) 538-0454 |
| NPI Number | 1013357953 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 10/07/2024 |
| Medicare PECOS PAC ID | 7517193196 |
|---|---|
| Medicare Enrollment ID | O20131204001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013357953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Crhistian Noemi Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346686383 PECOS PAC ID: 8527352467 Enrollment ID: I20160816000254 |
| Provider Name | Neil Mask Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063512887 PECOS PAC ID: 3678711835 Enrollment ID: I20170708000112 |
| Provider Name | Cari Jane Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215532080 PECOS PAC ID: 7113330531 Enrollment ID: I20210104000975 |
Mitchell Curtis Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W South St, Henrietta, TX 76365 Phone: 940-538-5054 Fax: 940-538-0028 | |
Discovery Medical Network Henrietta Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W South St, Henrietta, TX 76365 Phone: 940-235-3403 | |
County Of Clay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S Archer, Henrietta, TX 76365 Phone: 940-235-1202 Fax: 940-235-1215 | |
Mitch Wolfe, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W Omega St, Henrietta, TX 76365 Phone: 940-538-5054 Fax: 940-538-0028 | |
Mitch C Wolfe Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W South St, #101, Henrietta, TX 76365 Phone: 940-538-5054 Fax: 940-538-0028 | |
T David Greer Md And Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 South Archer, Henrietta, TX 76365 Phone: 940-538-4336 Fax: 940-538-6271 |