| West Clinic | |
|
1401 Jane Ln West TX 76691-1013 | |
| (254) 580-8950 | |
| Not Available |
| Full Name | West Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Jane Ln, West, Texas |
| Authorized Official Name and Position | Susan Popp (ADMINISTRATOR) |
| Authorized Official Contact | 2545808953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Clinic 101 Circle Dr Hillsboro TX 76645-2670 Ph: (254) 580-8950 | West Clinic 1401 Jane Ln West TX 76691-1013 Ph: (254) 580-8950 |
| NPI Number | 1861180622 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 6103711817 |
|---|---|
| Medicare Enrollment ID | O20230807001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861180622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Stacey Lynne Ready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891396586 PECOS PAC ID: 6305242710 Enrollment ID: I20210910000877 |
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