| Community Medical Care | |
|
163 W 5th St Rusk TX 75785-1217 | |
| (903) 683-6619 | |
| (903) 683-1176 |
| Full Name | Community Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 163 W 5th St, Rusk, Texas |
| Authorized Official Name and Position | Kendra R Verhelle (OWNER) |
| Authorized Official Contact | 9036836619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Care 163 W 5th St Rusk TX 75785-1217 Ph: (903) 683-6619 | Community Medical Care 163 W 5th St Rusk TX 75785-1217 Ph: (903) 683-6619 |
| NPI Number | 1053716340 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 0749503399 |
|---|---|
| Medicare Enrollment ID | O20150106001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053716340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J7712 (Texas) | Primary |
| Provider Name | Kendra R Verhelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811969454 PECOS PAC ID: 1052307444 Enrollment ID: I20040421001607 |
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