| Children's Care-a-van | |
|
3201 S Water St Burnet TX 78611-4510 | |
| (830) 596-3081 | |
| (512) 406-6505 |
| Full Name | Children's Care-a-van |
|---|---|
| Speciality | Clinic/Center |
| Location | 3201 S Water St, Burnet, Texas |
| Authorized Official Name and Position | William Davis (PRESIDENT & CEO) |
| Authorized Official Contact | 5123241000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Care-a-van 1345 Philomena St Suite 362 Austin TX 78723-3185 Ph: (512) 324-1000 | Children's Care-a-van 3201 S Water St Burnet TX 78611-4510 Ph: (830) 596-3081 |
| NPI Number | 1164445094 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/28/2020 |
| Medicare PECOS PAC ID | 5193634293 |
|---|---|
| Medicare Enrollment ID | O20030905000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164445094 | NPI | - | NPPES |
| 164174801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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