Santo Family Health | |
13965 S Fm 4 Santo TX 76472 | |
(940) 769-2303 | |
(940) 769-2306 |
Full Name | Santo Family Health |
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Speciality | Clinic/Center |
Location | 13965 S Fm 4, Santo, Texas |
Authorized Official Name and Position | William D Whiddon (CFO) |
Authorized Official Contact | 9403286401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Santo Family Health 400 Sw 25th Ave Mineral Wells TX 76067-8246 Ph: (940) 769-2303 | Santo Family Health 13965 S Fm 4 Santo TX 76472 Ph: (940) 769-2303 |
NPI Number | 1336124411 |
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Provider Enumeration Date | 12/12/2005 |
Last Update Date | 09/13/2022 |
Medicare PECOS PAC ID | 5890602759 |
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Medicare Enrollment ID | O20130528000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336124411 | NPI | - | NPPES |
346202001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 000034 (Texas) | Primary |
Santo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13965 S Fm 4, Santo, TX 76067 Phone: 940-769-2018 Fax: 940-769-2028 |