| Midland Community Healthcare Services | |
|
401 E Illinois Ave Midland TX 79701-4803 | |
| (432) 570-0238 | |
| Not Available |
| Full Name | Midland Community Healthcare Services |
|---|---|
| Speciality | Family Medicine |
| Location | 401 E Illinois Ave, Midland, Texas |
| Authorized Official Name and Position | Michael Austin (CEO) |
| Authorized Official Contact | 4325700238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Community Healthcare Services Po Box 5576 Midland TX 79704-5576 Ph: (432) 570-0238 | Midland Community Healthcare Services 401 E Illinois Ave Midland TX 79701-4803 Ph: (432) 570-0238 |
| NPI Number | 1396142931 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 0345230975 |
|---|---|
| Medicare Enrollment ID | O20150219000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396142931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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