| Pca Ellington | |
|
4803 Wesley St Greenville TX 75401 | |
| (903) 454-2246 | |
| (903) 450-1718 |
| Full Name | Pca Ellington |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4803 Wesley St, Greenville, Texas |
| Authorized Official Name and Position | Sherl L Morris (OPERATIONS MANAGER) |
| Authorized Official Contact | 4698003524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pca Ellington Po Box 844128 Dallas TX 75284-4128 Ph: (469) 800-3524 | Pca Ellington 4803 Wesley St Greenville TX 75401 Ph: (903) 454-2246 |
| NPI Number | 1689899916 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689899916 | NPI | - | NPPES |
| 137940608 | Medicaid | TX | |
| P00134601 | Other | TX | RAILROAD MEDICARE |
| 007EE | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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