Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 206 E. 16th St, Dalhart, Texas |
Authorized Official Name and Position | Kacey Schniederjan (CEO) |
Authorized Official Contact | 8062449268 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
206 E. 16th St Dalhart TX 79022-4802 Ph: (806) 244-5668 | 206 E. 16th St Dalhart TX 79022 Ph: (806) 244-5668 |
NPI Number | 1174533103 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 11/08/2021 |
Medicare PECOS PAC ID | 0143112805 |
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Medicare Enrollment ID | O20100603000170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174533103 | NPI | - | NPPES |
0019EZ | Other | TX | BLUE CROSS BLUE SHIELD |
103267102 | Other | TX | 1ST CARE |
144326901 | Medicaid | TX | |
0019EZ | Other | TX | BC |
144326902 | Other | TX | MCD TX HLTH STEPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 000262 (Texas) | Primary |
Hcc Of Dalhart Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Denver Ave, Dalhart, TX 79022 Phone: 806-244-4571 | |
Core Health Of Dalhart, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 E 10th St, Dalhart, TX 79022 Phone: 806-244-0003 Fax: 806-288-6041 | |
Jose E Espinel Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 E Texas Blvd, Dalhart, TX 79022 Phone: 806-244-3824 Fax: 806-244-3826 | |