| Frontera Healthcare Network - Menard Medical | |
|
119 S. Ellis St Menard TX 76859-0889 | |
| (325) 396-4733 | |
| (325) 396-2055 |
| Full Name | Frontera Healthcare Network - Menard Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 S. Ellis St, Menard, Texas |
| Authorized Official Name and Position | Mikki Hand (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 - Menard Medical Po Box 989 Eden TX 76837-0989 Ph: (325) 869-5500 | Frontera Healthcare Network - Menard Medical 119 S. Ellis St Menard TX 76859-0889 Ph: (325) 396-4733 |
| NPI Number | 1447594247 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 8426142522 |
|---|---|
| Medicare Enrollment ID | O20071008000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447594247 | NPI | - | NPPES |
| 188389402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Concho County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 South Ellis, Menard, TX 76859 Phone: 325-396-4612 Fax: 325-396-2055 |