Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 120 E D St, Munday, Texas |
Authorized Official Name and Position | Stephen A Kuehler (ADMINISTRATOR) |
Authorized Official Contact | 9406573535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 420 Munday TX 76371-0420 Ph: (940) 422-5271 | 120 E D St Munday TX 76371-1961 Ph: (940) 422-5271 |
NPI Number | 1225095441 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 11/06/2020 |
Medicare PECOS PAC ID | 5294643185 |
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Medicare Enrollment ID | O20040108000106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225095441 | NPI | - | NPPES |
163033701 | Medicaid | TX | |
163033701 | Other | TX | TPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |