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819 N Broadway St Aspermont TX 79502-2029 | |
(940) 989-2875 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 819 N Broadway St, Aspermont, Texas |
Authorized Official Name and Position | Michael Moorhead (CEO) |
Authorized Official Contact | 9409403551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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821 N Broadway St Aspermont TX 79502-2029 Ph: (940) 989-3551 | 819 N Broadway St Aspermont TX 79502-2029 Ph: (940) 989-2875 |
NPI Number | 1184057598 |
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Provider Enumeration Date | 08/21/2013 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 1254228919 |
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Medicare Enrollment ID | O20040730000716 |
Identifier | Type | State | Issuer |
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1184057598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |