| Fchc Rosebud Clinic | |
|
312 N Stallworth Rosebud TX 76570-2254 | |
| (254) 803-3561 | |
| (254) 883-6066 |
| Full Name | Fchc Rosebud Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 N Stallworth, Rosebud, Texas |
| Authorized Official Name and Position | Jessica Ford (INTERIM ADMINISTRATOR) |
| Authorized Official Contact | 2548033561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fchc Rosebud Clinic Po Box 60 Marlin TX 76661-0060 Ph: (254) 803-3561 | Fchc Rosebud Clinic 312 N Stallworth Rosebud TX 76570-2254 Ph: (254) 803-3561 |
| NPI Number | 1194777540 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Medicare PECOS PAC ID | 8527959816 |
|---|---|
| Medicare Enrollment ID | O20060110000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194777540 | NPI | - | NPPES |
| 458870 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Rosebud Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 South 5th Street, Rosebud, TX 76570 Phone: 254-583-0331 |