| Healing Arts Community Health Center Of Blanco And Canyon Lake Llc | |
|
4520 S Us Highway 281 Blanco TX 78606-5205 | |
| (830) 833-0510 | |
| (830) 833-4307 |
| Full Name | Healing Arts Community Health Center Of Blanco And Canyon Lake Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4520 S Us Highway 281, Blanco, Texas |
| Authorized Official Name and Position | Charlotte I Widick (PRESIDENT) |
| Authorized Official Contact | 8308330510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Arts Community Health Center Of Blanco And Canyon Lake Llc 4520 S Us Highway 281 Blanco TX 78606-5205 Ph: (830) 833-0510 | Healing Arts Community Health Center Of Blanco And Canyon Lake Llc 4520 S Us Highway 281 Blanco TX 78606-5205 Ph: (830) 833-0510 |
| NPI Number | 1083855621 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 12/27/2011 |
| Medicare PECOS PAC ID | 4789732512 |
|---|---|
| Medicare Enrollment ID | O20090504000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083855621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Texas) | Primary |
| Provider Name | Charlotte I Widick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376581751 PECOS PAC ID: 4789571381 Enrollment ID: I20040228000479 |
| Provider Name | Sharon A Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144220468 PECOS PAC ID: 0941270193 Enrollment ID: I20040727000746 |
Blanco Regional Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 825 4th St, Blanco, TX 78606 Phone: 830-833-5581 Fax: 830-833-4933 |