Fchc Bremond Clinic | |
201 S Main St Bremond TX 76629-5127 | |
(254) 803-3561 | |
(254) 883-6066 |
Full Name | Fchc Bremond Clinic |
---|---|
Speciality | Clinic/Center |
Location | 201 S Main St, Bremond, Texas |
Authorized Official Name and Position | Jessica Ford (INTERIM ADMINISTRATOR) |
Authorized Official Contact | 2548033561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fchc Bremond Clinic Po Box 60 Marlin TX 76661-0060 Ph: (254) 803-3561 | Fchc Bremond Clinic 201 S Main St Bremond TX 76629-5127 Ph: (254) 803-3561 |
NPI Number | 1558311241 |
---|---|
Provider Enumeration Date | 05/11/2006 |
Last Update Date | 06/02/2021 |
Medicare PECOS PAC ID | 8527959816 |
---|---|
Medicare Enrollment ID | O20060619000307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558311241 | NPI | - | NPPES |
063486701 | Medicaid | TX | |
458527 | Other | TX | TPAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |