| Fchc Marlin Clinic | |
|
307 Live Oak St Marlin TX 76661-2365 | |
| (254) 803-3561 | |
| (254) 883-6066 |
| Full Name | Fchc Marlin Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Live Oak St, Marlin, 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 Marlin Clinic Po Box 60 Marlin TX 76661-0060 Ph: (254) 803-3561 | Fchc Marlin Clinic 307 Live Oak St Marlin TX 76661-2365 Ph: (254) 803-3561 |
| NPI Number | 1629173737 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 8527959816 |
|---|---|
| Medicare Enrollment ID | O20100406000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629173737 | NPI | - | NPPES |
| 1333676-03 | Medicaid | TX | |
| 1333676-05 | Medicaid | TX | |
| 453977 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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