| Presidio County Health Services, Inc. | |
|
406 S Summer St Marfa TX 79843 | |
| (432) 729-1800 | |
| (432) 729-1806 |
| Full Name | Presidio County Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 406 S Summer St, Marfa, Texas |
| Authorized Official Name and Position | Linda Molinar (CEO) |
| Authorized Official Contact | 4328374812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presidio County Health Services, Inc. 1605 N Ft Davis Hwy Suite B Alpine TX 79830 Ph: (432) 837-4812 | Presidio County Health Services, Inc. 406 S Summer St Marfa TX 79843 Ph: (432) 729-1800 |
| NPI Number | 1013196625 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 5193823045 |
|---|---|
| Medicare Enrollment ID | O20080513000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013196625 | NPI | - | NPPES |
| 189915501 | Medicaid | TX | |
| 67-1881 | Other | TX | MEDICARE CCN OR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 207Q00000X | Family Medicine | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |