| South Plains Rural Health Services, Inc. | |
|
103 W 11th St Big Spring TX 79720-2913 | |
| (432) 517-4557 | |
| (432) 400-1406 |
| Full Name | South Plains Rural Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 W 11th St, Big Spring, Texas |
| Authorized Official Name and Position | Judith M Madura (CEO) |
| Authorized Official Contact | 8068947842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Plains Rural Health Services, Inc. 1000 Fm 300 Levelland TX 79336-6235 Ph: (806) 894-7842 | South Plains Rural Health Services, Inc. 103 W 11th St Big Spring TX 79720-2913 Ph: (432) 517-4557 |
| NPI Number | 1609171149 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 4880505726 |
|---|---|
| Medicare Enrollment ID | O20110221000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609171149 | NPI | - | NPPES |
| 281971603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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