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3113 Ross St Amarillo TX 79103-2700 | |
(806) 374-7341 | |
(806) 322-0533 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3113 Ross St, Amarillo, Texas |
Authorized Official Name and Position | Rick C Love (CEO) |
Authorized Official Contact | 8062938561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2801 W 8th St Plainview TX 79072-6737 Ph: (806) 293-8561 | 3113 Ross St Amarillo TX 79103-2700 Ph: (806) 374-7341 |
NPI Number | 1003813056 |
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Provider Enumeration Date | 07/06/2005 |
Last Update Date | 05/09/2024 |
Medicare PECOS PAC ID | 5698682557 |
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Medicare Enrollment ID | O20060926000597 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003813056 | NPI | - | NPPES |
019045601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | F1756 (Texas) | Primary |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |