| Rio Grande State Center Sthcs | |
|
1301 S Rangerville Rd (clinic) Harlingen TX 78552-7610 | |
| (956) 425-8900 | |
| (210) 531-8172 |
| Full Name | Rio Grande State Center Sthcs |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 S Rangerville Rd, Harlingen, Texas |
| Authorized Official Name and Position | Linda Garnett (PROGRAM SUPERVISOR) |
| Authorized Official Contact | 5129131580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande State Center Sthcs 4110 Guadalupe St Hospital Revenue Mgmt.-mc2023 Austin TX 78751-4223 Ph: (512) 206-5011 | Rio Grande State Center Sthcs 1301 S Rangerville Rd (clinic) Harlingen TX 78552-7610 Ph: (956) 425-8900 |
| NPI Number | 1558434894 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558434894 | NPI | - | NPPES |
| 0212193-04 | Medicaid | TX | |
| 0212193-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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