| Family Care Center Quitman | |
|
606 E Goode Street Suite 100 Quitman TX 75783-2541 | |
| (903) 763-2421 | |
| (903) 763-0812 |
| Full Name | Family Care Center Quitman |
|---|---|
| Speciality | Family Medicine |
| Location | 606 E Goode Street, Quitman, Texas |
| Authorized Official Name and Position | Scott J Olson (PRESIDENT) |
| Authorized Official Contact | 9037632421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center Quitman 606 E Goode Street Suite 100 Quitman TX 75783-2541 Ph: (903) 763-2421 | Family Care Center Quitman 606 E Goode Street Suite 100 Quitman TX 75783-2541 Ph: (903) 763-2421 |
| NPI Number | 1548368400 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/27/2010 |
| Medicare PECOS PAC ID | 1456341650 |
|---|---|
| Medicare Enrollment ID | O20040518000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548368400 | NPI | - | NPPES |
| 0059JF | Other | BC | |
| 153779701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott J Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730279639 PECOS PAC ID: 9234129446 Enrollment ID: I20090324000143 |
| Provider Name | Melody Marie Swinford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356412316 PECOS PAC ID: 5496745606 Enrollment ID: I20100819000679 |
| Provider Name | Tina G Hanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151423 PECOS PAC ID: 0244468817 Enrollment ID: I20140107000253 |
| Provider Name | Valerie E Mcwhorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248015 PECOS PAC ID: 2466857677 Enrollment ID: I20210826002069 |
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