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1400 S 1st St Haskell TX 79521-5426 | |
(940) 228-0612 | |
(940) 864-2779 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1400 S 1st St, Haskell, Texas |
Authorized Official Name and Position | Sydney Saucedo (CLINIC MANAGER) |
Authorized Official Contact | 9402280612 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1400 S 1st St Haskell TX 79521-5426 Ph: (904) 228-0612 | 1400 S 1st St Haskell TX 79521-5426 Ph: (940) 228-0612 |
NPI Number | 1295339315 |
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Provider Enumeration Date | 11/30/2020 |
Last Update Date | 10/04/2023 |
Medicare PECOS PAC ID | 1355440413 |
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Medicare Enrollment ID | O20201203001614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295339315 | NPI | - | NPPES |
678562 | Other | TX | RURAL HEALTH CLINIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |