| Breckenridge Medical Center | |
|
101 S Hartford St Breckenridge TX 76424-4711 | |
| (254) 559-3363 | |
| (254) 559-2572 |
| Full Name | Breckenridge Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 S Hartford St, Breckenridge, Texas |
| Authorized Official Name and Position | Jana L Earnest (CLINIC DIRECTOR) |
| Authorized Official Contact | 2545593363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breckenridge Medical Center 101 S Hartford St Breckenridge TX 76424-4711 Ph: (254) 559-3363 | Breckenridge Medical Center 101 S Hartford St Breckenridge TX 76424-4711 Ph: (254) 559-3363 |
| NPI Number | 1336560382 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 05/05/2016 |
| Medicare PECOS PAC ID | 4688801715 |
|---|---|
| Medicare Enrollment ID | O20140222000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336560382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
| Provider Name | Christina Lee Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255038121 PECOS PAC ID: 7618337106 Enrollment ID: I20230714003717 |
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