| Crane Medical Clinic Pa | |
|
103 S Gaston St Crane TX 79731-2019 | |
| (432) 558-2223 | |
| (432) 558-2208 |
| Full Name | Crane Medical Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 S Gaston St, Crane, Texas |
| Authorized Official Name and Position | Jose Gumato (CLINIC MANAGER) |
| Authorized Official Contact | 4325582223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crane Medical Clinic Pa 103 S Gaston St Crane TX 79731-2019 Ph: (432) 558-2223 | Crane Medical Clinic Pa 103 S Gaston St Crane TX 79731-2019 Ph: (432) 558-2223 |
| NPI Number | 1053504639 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 5193743524 |
|---|---|
| Medicare Enrollment ID | O20051104000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053504639 | NPI | - | NPPES |
| 180163101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Crane County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 'a' S. Alford St, Crane, TX 79731 Phone: 432-558-3555 Fax: 432-558-3443 |