| South Plains Rural Health Services, Inc. | |
|
1502 N Avenue K Lamesa TX 79331-3040 | |
| (806) 872-3069 | |
| (806) 894-3378 |
| Full Name | South Plains Rural Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1502 N Avenue K, Lamesa, 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. 1502 N Avenue K Lamesa TX 79331-3040 Ph: (806) 872-3069 |
| NPI Number | 1376656207 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/18/2025 |
| Medicare PECOS PAC ID | 4880505726 |
|---|---|
| Medicare Enrollment ID | O20030918000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376656207 | NPI | - | NPPES |
| 019035701 | Medicaid | TX | |
| 019049801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dawson County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Bryan Ave, Lamesa, TX 79331 Phone: 806-872-2183 Fax: 806-872-0823 | |
Griengsak Chowpaknam Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Bryan Ave, Lamesa, TX 79331 Phone: 806-796-0507 Fax: 806-799-6908 | |
Dawson County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2202 N Bryan Ave, Lamesa, TX 79331 Phone: 806-872-7494 Fax: 806-872-5917 | |
Dawson County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2202 N Bryan Ave, Lamesa, TX 79331 Phone: 806-872-6525 Fax: 806-872-6550 | |
Dawson County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 N 17th St, Lamesa, TX 79331 Phone: 806-872-5727 Fax: 806-872-0823 |