Fox Rural Health Clinic | |
1001 Hwy 83 North Childress TX 79201-2322 | |
(940) 937-3636 | |
(940) 937-9644 |
Full Name | Fox Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 1001 Hwy 83 North, Childress, Texas |
Authorized Official Name and Position | Ladonna Willis (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 9409373636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fox Rural Health Clinic Po Box 1030 Childress TX 79201-1030 Ph: (940) 937-3636 | Fox Rural Health Clinic 1001 Hwy 83 North Childress TX 79201-2322 Ph: (940) 937-3636 |
NPI Number | 1902995525 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 08/06/2008 |
Medicare PECOS PAC ID | 5193634111 |
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Medicare Enrollment ID | O20051123000081 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902995525 | NPI | - | NPPES |
108081401 | Medicaid | TX | |
108081402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 453996 (Texas) | Primary |
Provider Name | Gregory J Oneill |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1174511141 PECOS PAC ID: 7214910272 Enrollment ID: I20040610000809 |
Provider Name | Dennis O'neill |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720104318 PECOS PAC ID: 6002842044 Enrollment ID: I20050712000395 |
Provider Name | Thomas M Carrell |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1245239508 PECOS PAC ID: 1052409745 Enrollment ID: I20071113000763 |
Provider Name | Dustin Robert Pratt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912199456 PECOS PAC ID: 2466527007 Enrollment ID: I20080818000229 |
Provider Name | Fred Hardwicke |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1194713248 PECOS PAC ID: 8325198609 Enrollment ID: I20090608000368 |
Provider Name | Thomas Craig Darter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467553370 PECOS PAC ID: 8527965433 Enrollment ID: I20090826000638 |
Provider Name | Richard David Caldwell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558462465 PECOS PAC ID: 6406983659 Enrollment ID: I20100421000092 |
Provider Name | James Michael Henderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376644286 PECOS PAC ID: 3173650223 Enrollment ID: I20100421000173 |
Provider Name | Dondi Dianne Ridens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588765499 PECOS PAC ID: 8022145184 Enrollment ID: I20100421000336 |
Provider Name | Weldon Dee Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609977511 PECOS PAC ID: 7911034020 Enrollment ID: I20100421000856 |
Provider Name | Nicholas P Souder |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598910481 PECOS PAC ID: 4183740152 Enrollment ID: I20100927001496 |
Provider Name | Lori Rabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427159334 PECOS PAC ID: 2567655293 Enrollment ID: I20101026000478 |
Provider Name | Peter Nevin Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235220880 PECOS PAC ID: 1951594688 Enrollment ID: I20101026000574 |
Provider Name | David Craig Schaefer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649533969 PECOS PAC ID: 6204057912 Enrollment ID: I20141022001082 |
Provider Name | Meagan O J Husband |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124384342 PECOS PAC ID: 6305168980 Enrollment ID: I20141210000996 |
Provider Name | Keri Jo Wellborn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972915775 PECOS PAC ID: 3779880760 Enrollment ID: I20160317001757 |
Provider Name | Kimberly C Hagar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053721910 PECOS PAC ID: 5698073013 Enrollment ID: I20171025003160 |
Provider Name | Jonathan M Davis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1194233742 PECOS PAC ID: 4183983968 Enrollment ID: I20180124002539 |
Provider Name | Tyler A Britten |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598175721 PECOS PAC ID: 7517248610 Enrollment ID: I20200715003244 |
Provider Name | Tina A Leasure |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639568314 PECOS PAC ID: 1658682307 Enrollment ID: I20200901000145 |
Provider Name | Lauren Ashley Bratton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962945451 PECOS PAC ID: 7214397553 Enrollment ID: I20230718001600 |
Provider Name | Jacob Thomas Darter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043848369 PECOS PAC ID: 6204252885 Enrollment ID: I20231021000007 |