| Carevide | |
|
606 Culver St Commerce TX 75428-3608 | |
| (903) 454-3025 | |
| (903) 450-1408 |
| Full Name | Carevide |
|---|---|
| Speciality | Clinic/Center |
| Location | 606 Culver St, Commerce, Texas |
| Authorized Official Name and Position | Michelle P Carter (CEO) |
| Authorized Official Contact | 9034555986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carevide Po Box 1908 Greenville TX 75403-1908 Ph: (903) 454-3025 | Carevide 606 Culver St Commerce TX 75428-3608 Ph: (903) 454-3025 |
| NPI Number | 1104485374 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 6305735150 |
|---|---|
| Medicare Enrollment ID | O20190719000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104485374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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