| Ellington Memorial Clinic, Llp | |
|
1011 South Williams Street Atlanta TX 75551-3245 | |
| (903) 796-2868 | |
| (903) 796-0826 |
| Full Name | Ellington Memorial Clinic, Llp |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1011 South Williams Street, Atlanta, Texas |
| Authorized Official Name and Position | Anita G Carney (OFFICE MGR) |
| Authorized Official Contact | 9037962868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellington Memorial Clinic, Llp 1011 South Williams Street Atlanta TX 75551-3245 Ph: (903) 796-2868 | Ellington Memorial Clinic, Llp 1011 South Williams Street Atlanta TX 75551-3245 Ph: (903) 796-2868 |
| NPI Number | 1760483770 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760483770 | NPI | - | NPPES |
| 04709 | Other | TX | BCBS |
| 133389002 | Medicaid | TX | |
| 133389004 | Medicaid | TX | |
| 88966 | Other | TX | BCBS |
| 133389005 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
East Texas Border Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Christus Health Ark-la-tex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 S William St, Atlanta, TX 75551 Phone: 903-614-4200 Fax: 903-614-4244 | |
Atlanta Family Practice Clinic Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Main St, Atlanta, TX 75551 Phone: 903-796-4133 Fax: 903-796-5001 |