| Surepoint Urgent Care Stephenville | |
|
2108 W Washington St Ste 100 Stephenville TX 76401-3928 | |
| (254) 587-3848 | |
| Not Available |
| Full Name | Surepoint Urgent Care Stephenville |
|---|---|
| Speciality | Clinic/Center |
| Location | 2108 W Washington St Ste 100, Stephenville, Texas |
| Authorized Official Name and Position | Michelle Newsom (PRESIDENT) |
| Authorized Official Contact | 8172712583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surepoint Urgent Care Stephenville 2300 Matlock Rd Ste 35 Mansfield TX 76063-5018 Ph: (469) 830-8200 | Surepoint Urgent Care Stephenville 2108 W Washington St Ste 100 Stephenville TX 76401-3928 Ph: (254) 587-3848 |
| NPI Number | 1841756087 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 9830511534 |
|---|---|
| Medicare Enrollment ID | O20200625003014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841756087 | NPI | - | NPPES |
| 00000 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Christopher Opella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134184716 PECOS PAC ID: 8820981244 Enrollment ID: I20040207000184 |
| Provider Name | Dana A Wingate |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881796639 PECOS PAC ID: 0345299079 Enrollment ID: I20050119000951 |
| Provider Name | Michael W Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598795189 PECOS PAC ID: 4587790233 Enrollment ID: I20100405000144 |
| Provider Name | Jennifer A Harwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649685462 PECOS PAC ID: 2163644964 Enrollment ID: I20141111002027 |
| Provider Name | Brett W Thetford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861841512 PECOS PAC ID: 4486921087 Enrollment ID: I20170602001240 |
| Provider Name | Charles Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033476 PECOS PAC ID: 9032446513 Enrollment ID: I20190806002997 |
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