| One Source Health Center Rising Star | |
|
902 W College St Rising Star TX 76471-5143 | |
| (325) 646-8541 | |
| (325) 646-5459 |
| Full Name | One Source Health Center Rising Star |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 902 W College St, Rising Star, Texas |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2144737000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Source Health Center Rising Star Po Box 760 Brownwood TX 76804-0760 Ph: (325) 646-8541 | One Source Health Center Rising Star 902 W College St Rising Star TX 76471-5143 Ph: (325) 646-8541 |
| NPI Number | 1205889516 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205889516 | NPI | - | NPPES |
| 139179911 | Medicaid | TX | |
| 133491406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Rising Star Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1870 State Hwy 36, Rising Star, TX 76471 Phone: 254-879-4900 Fax: 254-879-4991 | |
One Source Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 West College, Rising Star, TX 76471 Phone: 254-643-3141 Fax: 254-643-4000 |