| Baylor Scott & White Clinic - Johnson City | |
|
208 Haley Rd Johnson City TX 78636 | |
| (325) 247-5040 | |
| Not Available |
| Full Name | Baylor Scott & White Clinic - Johnson City |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Haley Rd, Johnson City, Texas |
| Authorized Official Name and Position | Timothy Ols (CEO) |
| Authorized Official Contact | 8302018679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baylor Scott & White Clinic - Johnson City Po Box 844658 Dallas TX 75284-4658 Ph: () - | Baylor Scott & White Clinic - Johnson City 208 Haley Rd Johnson City TX 78636 Ph: (325) 247-5040 |
| NPI Number | 1639511207 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 6901117175 |
|---|---|
| Medicare Enrollment ID | O20191022003061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639511207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blanco County Community Health Paramedic Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Us Highway 281, Johnson City, TX 78636 Phone: 830-984-4100 Fax: 830-984-4150 | |
Johnson City Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 S Us Highway 281, Johnson City, TX 78636 Phone: 830-833-5581 Fax: 830-833-4933 |