| Community Healthcare Center | |
|
200 Mlkjr Blvd Wichita Falls TX 76301-1152 | |
| (940) 397-2691 | |
| (940) 761-3038 |
| Full Name | Community Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Mlkjr Blvd, Wichita Falls, Texas |
| Authorized Official Name and Position | Allen Patterson (CEO) |
| Authorized Official Contact | 9407666306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Center 200 Mlkjr Blvd Wichita Falls TX 76301-1152 Ph: (940) 397-2690 | Community Healthcare Center 200 Mlkjr Blvd Wichita Falls TX 76301-1152 Ph: (940) 397-2691 |
| NPI Number | 1255324141 |
|---|---|
| Provider Enumeration Date | 08/25/2005 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 9931099215 |
|---|---|
| Medicare Enrollment ID | O20040318001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255324141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Yao J Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902875552 PECOS PAC ID: 4183658164 Enrollment ID: I20050920000291 |
| Provider Name | Hossein Ghanbari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942288105 PECOS PAC ID: 8022195635 Enrollment ID: I20080407000635 |
| Provider Name | Lawrence S Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679599476 PECOS PAC ID: 2961548433 Enrollment ID: I20100622000311 |
| Provider Name | Bruce W Rajala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427013200 PECOS PAC ID: 0840324059 Enrollment ID: I20100813000036 |
| Provider Name | Konappa H Murthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487677936 PECOS PAC ID: 0244257582 Enrollment ID: I20101004000818 |
| Provider Name | Brock L Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437329315 PECOS PAC ID: 6305019498 Enrollment ID: I20111107000166 |
| Provider Name | Gillian G Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356315386 PECOS PAC ID: 2668632225 Enrollment ID: I20120320000340 |
| Provider Name | Sheryl J Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396019881 PECOS PAC ID: 9234395120 Enrollment ID: I20120720000464 |
| Provider Name | Akosua Anim Norgbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831574011 PECOS PAC ID: 5799094728 Enrollment ID: I20151014001556 |
| Provider Name | Ellaheh Ebrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972833754 PECOS PAC ID: 3779746813 Enrollment ID: I20160210002921 |
| Provider Name | Christine Marie Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328715 PECOS PAC ID: 0244522571 Enrollment ID: I20160707001156 |
| Provider Name | Michelle L Mcquerry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063876209 PECOS PAC ID: 8729360565 Enrollment ID: I20170131001111 |
| Provider Name | John Matt Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891705059 PECOS PAC ID: 1850695768 Enrollment ID: I20170502000518 |
| Provider Name | Megan M Thibodeaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538589080 PECOS PAC ID: 7315231677 Enrollment ID: I20180821001625 |
| Provider Name | Hanh T May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033680731 PECOS PAC ID: 5294071205 Enrollment ID: I20190111003046 |
| Provider Name | Lane A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962978460 PECOS PAC ID: 0941549125 Enrollment ID: I20190306000306 |
| Provider Name | Nicole Renee Kaufhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538644281 PECOS PAC ID: 9537409107 Enrollment ID: I20190318001224 |
| Provider Name | Kimberly Allgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335859 PECOS PAC ID: 6204168099 Enrollment ID: I20191028002789 |
| Provider Name | Bryana Nicole Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386245439 PECOS PAC ID: 3577976075 Enrollment ID: I20201230000294 |
| Provider Name | Katheryne Lynn Teveni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306446844 PECOS PAC ID: 7810388642 Enrollment ID: I20220509002385 |
| Provider Name | Mohammad Abdul Kabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144985755 PECOS PAC ID: 6103218854 Enrollment ID: I20220518000379 |
| Provider Name | Alisha R Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881326619 PECOS PAC ID: 2062893829 Enrollment ID: I20220726000404 |
| Provider Name | Blanca Lizzeth Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356025415 PECOS PAC ID: 5092177816 Enrollment ID: I20230810003268 |
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