| Frontera Healthcare Network | |
|
1426 E Main St Ste 300-400 Fredericksburg TX 78624-5308 | |
| (325) 869-5500 | |
| Not Available |
| Full Name | Frontera Healthcare Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 1426 E Main St Ste 300-400, Fredericksburg, Texas |
| Authorized Official Name and Position | Cam Kleibrink (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3258695500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontera Healthcare Network Po Box 989 Eden TX 76837-0989 Ph: (325) 869-5500 | Frontera Healthcare Network 1426 E Main St Ste 300-400 Fredericksburg TX 78624-5308 Ph: (325) 869-5500 |
| NPI Number | 1992396949 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 8426142522 |
|---|---|
| Medicare Enrollment ID | O20210721003801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992396949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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