Carevide | |
106 Medical Circle Sulphur Springs TX 75482 | |
(903) 885-1730 | |
(903) 885-0050 |
Full Name | Carevide |
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Speciality | Clinic/Center |
Location | 106 Medical Circle, Sulphur Springs, 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 |
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Carevide Po Box 1908 Greenville TX 75403-1908 Ph: (039) 454-3025 | Carevide 106 Medical Circle Sulphur Springs TX 75482 Ph: (903) 885-1730 |
NPI Number | 1184275711 |
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Provider Enumeration Date | 09/25/2019 |
Last Update Date | 03/18/2021 |
Medicare PECOS PAC ID | 6305735150 |
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Medicare Enrollment ID | O20191016000601 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184275711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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