| Regence Health Network Inc | |
|
1224 Main St Matador TX 79244 | |
| (806) 347-2641 | |
| (806) 347-2780 |
| Full Name | Regence Health Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1224 Main St, Matador, Texas |
| Authorized Official Name and Position | Rick C Love (CEO) |
| Authorized Official Contact | 8062938561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regence Health Network Inc 2801 W 8th St Plainview TX 79072-6737 Ph: (806) 293-8561 | Regence Health Network Inc 1224 Main St Matador TX 79244 Ph: (806) 347-2641 |
| NPI Number | 1396743837 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396743837 | NPI | - | NPPES |
| 019046401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | F1756 (Texas) | Primary |
Motley County Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Main Street, Matador, TX 79244 Phone: 806-347-2641 Fax: 806-347-2780 |