North Runnels Hospital Clinic | |
7571 State Highway 153 Winters TX 79567-7439 | |
(325) 754-1317 | |
(325) 754-1208 |
Full Name | North Runnels Hospital Clinic |
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Speciality | Clinic/Center |
Location | 7571 State Highway 153, Winters, Texas |
Authorized Official Name and Position | Trace George (CEO) |
Authorized Official Contact | 3257541500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Runnels Hospital Clinic Po Box 185 Winters TX 79567-0185 Ph: (325) 754-1317 | North Runnels Hospital Clinic 7571 State Highway 153 Winters TX 79567-7439 Ph: (325) 754-1317 |
NPI Number | 1255429155 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 6507757812 |
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Medicare Enrollment ID | O20040324000437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255429155 | NPI | - | NPPES |
020989204 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Mark S Mckinnon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457326571 PECOS PAC ID: 9234288341 Enrollment ID: I20090520000441 |
Provider Name | Tamara D Killough |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083017511 PECOS PAC ID: 1557674470 Enrollment ID: I20150722003709 |
Provider Name | Benjamin L England |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861095838 PECOS PAC ID: 7810386943 Enrollment ID: I20211111001339 |