| Jefferson Life Center | |
|
219 N Polk St Jefferson TX 75657-2131 | |
| (903) 247-0484 | |
| (903) 247-0485 |
| Full Name | Jefferson Life Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 219 N Polk St, Jefferson, Texas |
| Authorized Official Name and Position | John Ford (PRESIDENT) |
| Authorized Official Contact | 9032470484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Life Center 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0484 | Jefferson Life Center 219 N Polk St Jefferson TX 75657-2131 Ph: (903) 247-0484 |
| NPI Number | 1598093239 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598093239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Good Shepherd Glenn-garrett Clinic - Jefferson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 N Walcott St, Jefferson, TX 75657 Phone: 903-665-9500 Fax: 903-665-9501 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Alley Street, Jefferson, TX 75657 Phone: 903-665-8453 Fax: 903-665-8496 | |
Jefferson Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Alley St, Jefferson, TX 75657 Phone: 903-665-1014 |