| Covenant Family Healthcare Center | |
|
409 8th St Abernathy TX 79311-3416 | |
| (806) 298-5884 | |
| (806) 298-5889 |
| Full Name | Covenant Family Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 8th St, Abernathy, Texas |
| Authorized Official Name and Position | Kristen Kothmann (COO/VP) |
| Authorized Official Contact | 8067257800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Healthcare Center 2215 Nashville Ave Lubbock TX 79410-1105 Ph: (806) 725-5844 | Covenant Family Healthcare Center 409 8th St Abernathy TX 79311-3416 Ph: (806) 298-5884 |
| NPI Number | 1538412895 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 09/23/2020 |
| Medicare PECOS PAC ID | 6901889393 |
|---|---|
| Medicare Enrollment ID | O20120911000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538412895 | NPI | - | NPPES |
| 673910 | Other | TX | MEDICARE |
| 328182601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Abernathy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 8th St, Abernathy, TX 79311 Phone: 806-298-5884 Fax: 806-298-5889 |