Full Name | |
---|---|
Speciality | Medicare Defined Swing Bed Unit |
Location | 2600 Lockwood, Tahoka, Texas |
Authorized Official Name and Position | Darma Engle (CREDENTIALING MANAGER) |
Authorized Official Contact | 8069984533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1310 Tahoka TX 79373-1310 Ph: (806) 998-4533 | 2600 Lockwood Tahoka TX 79373 Ph: (806) 998-4533 |
NPI Number | 1942387063 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/24/2023 |
Medicare PECOS PAC ID | 9739149295 |
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Medicare Enrollment ID | O20101214000615 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942387063 | NPI | - | NPPES |
001025436 | Medicaid | TX |
Patrick J Edwards Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Lockwood, Suite C, Tahoka, TX 79373 Phone: 806-998-5501 Fax: 806-561-5504 | |
Lynn County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Lockwood, Tahoka, TX 79373 Phone: 806-998-4533 Fax: 806-561-4049 | |