D/b/a Healthcenter On 1417 | |
1000 S Fm 1417 Sherman TX 75092-4865 | |
(903) 870-4611 | |
(903) 891-2030 |
Full Name | D/b/a Healthcenter On 1417 |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1000 S Fm 1417, Sherman, Texas |
Authorized Official Name and Position | Vance Vernon Reynolds (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9038704591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
D/b/a Healthcenter On 1417 119 W Houston St Sherman TX 75090-5909 Ph: (903) 891-7000 | D/b/a Healthcenter On 1417 1000 S Fm 1417 Sherman TX 75092-4865 Ph: (903) 870-4611 |
NPI Number | 1902840333 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 06/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902840333 | NPI | - | NPPES |
00U24J | Other | TX | BLUE CROSS BLUE SHIELD |
018042401 | Other | TX | TX MEDICAID T-STEPS |
063537701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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