Cogdell Clinic Briscoe County | |
701 Commerce Street Silverton TX 79257 | |
(806) 652-3373 | |
(806) 652-2417 |
Full Name | Cogdell Clinic Briscoe County |
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Speciality | Clinic/Center |
Location | 701 Commerce Street, Silverton, Texas |
Authorized Official Name and Position | James Heitzenrater (ADMINISTRATOR) |
Authorized Official Contact | 8066523373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cogdell Clinic Briscoe County P.o. Box 37 Lockney TX 79241-0037 Ph: (806) 652-3373 | Cogdell Clinic Briscoe County 701 Commerce Street Silverton TX 79257 Ph: (806) 652-3373 |
NPI Number | 1518032879 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/29/2018 |
Medicare PECOS PAC ID | 4880504968 |
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Medicare Enrollment ID | O20070207000303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518032879 | NPI | - | NPPES |
190296701 | Medicaid | TX | |
190296702 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |