| Cogdell Clinic | |
|
320 N Main Lockney TX 79241 | |
| (806) 652-3373 | |
| (806) 652-2417 |
| Full Name | Cogdell Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 N Main, Lockney, Texas |
| Authorized Official Name and Position | Vincent Difranco (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8066523373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogdell Clinic P.o. Box 37 Lockney TX 79241 Ph: (806) 652-3373 | Cogdell Clinic 320 N Main Lockney TX 79241 Ph: (806) 652-3373 |
| NPI Number | 1437178357 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 4880504968 |
|---|---|
| Medicare Enrollment ID | O20030618000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437178357 | NPI | - | NPPES |
| 126667804 | Medicaid | TX | |
| 126667807 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 00010 (Texas) | Primary |
Sharie A. Moore, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 N Main, Lockney, TX 79241 Phone: 806-652-3373 Fax: 806-652-2417 |