| Family Practice Mills County | |
|
1501 W. Front St. Goldthwaite TX 76844 | |
| (325) 648-2850 | |
| (325) 648-2854 |
| Full Name | Family Practice Mills County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 W. Front St., Goldthwaite, Texas |
| Authorized Official Name and Position | Brian Roland (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 2543861600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Mills County 400 N Brown St Bldg. I Hamilton TX 76531-1518 Ph: (254) 386-1600 | Family Practice Mills County 1501 W. Front St. Goldthwaite TX 76844 Ph: (325) 648-2850 |
| NPI Number | 1629215041 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 01/09/2014 |
| Medicare PECOS PAC ID | 2062326234 |
|---|---|
| Medicare Enrollment ID | O20090421000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629215041 | NPI | - | NPPES |
| 450754 | Other | TX | MEDICARE PROVIDER # |
| 00J74H | Other | TX | MEDICARE OP PHYSICIAN GROUP |
| 1217929 03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Coryell Health Medical Clinic - Mills County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Hannah Valley Rd, Goldthwaite, TX 76844 Phone: 325-648-2263 Fax: 254-248-6303 |