| Gordon Family Health | |
|
118 S Main St Gordon TX 76453 | |
| (254) 693-5211 | |
| (940) 328-6523 |
| Full Name | Gordon Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 S Main St, Gordon, Texas |
| Authorized Official Name and Position | William D Whiddon (CFO) |
| Authorized Official Contact | 9403286401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Family Health 400 Sw 25th Ave Mineral Wells TX 76067-8246 Ph: (940) 325-7891 | Gordon Family Health 118 S Main St Gordon TX 76453 Ph: (254) 693-5211 |
| NPI Number | 1912982174 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 09/13/2022 |
| Medicare PECOS PAC ID | 5890602759 |
|---|---|
| Medicare Enrollment ID | O20051230000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912982174 | NPI | - | NPPES |
| 063500501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 34 (Texas) | Primary |
Palo Pinto Rural Healthclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Main Street, Gordon, TX 76453 Phone: 254-693-5211 Fax: 254-693-5774 |