| Chelsea Medical Center, Llc | |
|
6600 Mckinney Ranch Pkwy Apt 12204 Mckinney TX 75070-8453 | |
| (214) 694-6420 | |
| Not Available |
| Full Name | Chelsea Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6600 Mckinney Ranch Pkwy Apt 12204, Mckinney, Texas |
| Authorized Official Name and Position | Chelsea Edwards (PRESIDENT) |
| Authorized Official Contact | 2146946420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Medical Center, Llc 2108 Dallas Pkwy Ste 214 Box 585 Plano TX 75093-4362 Ph: (214) 694-3420 | Chelsea Medical Center, Llc 6600 Mckinney Ranch Pkwy Apt 12204 Mckinney TX 75070-8453 Ph: (214) 694-6420 |
| NPI Number | 1285254391 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Medicare PECOS PAC ID | 0840621389 |
|---|---|
| Medicare Enrollment ID | O20200515002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285254391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chelsea L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740543628 PECOS PAC ID: 0143466961 Enrollment ID: I20130424000572 |
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