| Great Health Aftx Pc | |
|
1003 Columbia St Stamford TX 79553-6825 | |
| (212) 201-1252 | |
| Not Available |
| Full Name | Great Health Aftx Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1003 Columbia St, Stamford, Texas |
| Authorized Official Name and Position | Aron Feldman (OWNER) |
| Authorized Official Contact | 2485149356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Health Aftx Pc 407 Willoughby Ave Brooklyn NY 11205-4590 Ph: () - | Great Health Aftx Pc 1003 Columbia St Stamford TX 79553-6825 Ph: (212) 201-1252 |
| NPI Number | 1174384259 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 5193168938 |
|---|---|
| Medicare Enrollment ID | O20240208001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174384259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly M Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383748 PECOS PAC ID: 2466729868 Enrollment ID: I20170606000395 |
| Provider Name | Wendy Vandyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275804197 PECOS PAC ID: 9032472154 Enrollment ID: I20180424000548 |
| Provider Name | Willie Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548657802 PECOS PAC ID: 4385908086 Enrollment ID: I20180504001120 |
| Provider Name | Aharon Feldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235584962 PECOS PAC ID: 8921379249 Enrollment ID: I20240208001246 |
| Provider Name | Fenia J Philemond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386135283 PECOS PAC ID: 3476988403 Enrollment ID: I20240311002700 |
Memorial Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Mabee St, Stamford, TX 79553 Phone: 325-773-2725 Fax: 325-773-3781 | |
Stamford Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Mabee St, Stamford, TX 79553 Phone: 325-773-5733 | |
Stamford Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1601 Columbia St, Stamford, TX 79553 Phone: 325-773-2725 | |
Memorial Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Columbia St Ste A, Stamford, TX 79553 Phone: 325-773-5733 Fax: 325-773-3781 | |
Stamford Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Mabee St, Stamford, TX 79553 Phone: 325-773-2900 Fax: 325-773-2911 |