Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 217 Edwards, Merkel, Texas |
Authorized Official Name and Position | Meagan Michelle Marshall (CFO) |
Authorized Official Contact | 3257622447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2435 Albany TX 76430-8020 Ph: (325) 762-2447 | 217 Edwards Merkel TX 79536-3803 Ph: (325) 928-0014 |
NPI Number | 1184096273 |
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Provider Enumeration Date | 10/28/2015 |
Last Update Date | 10/28/2015 |
Medicare PECOS PAC ID | 8628027174 |
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Medicare Enrollment ID | O20160121000265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184096273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |