| Prime Healthcare Services Pampa Llc | |
|
3023 Perryton Pkwy Pampa TX 79065-2821 | |
| (806) 661-8245 | |
| Not Available |
| Full Name | Prime Healthcare Services Pampa Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3023 Perryton Pkwy, Pampa, Texas |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services Pampa Llc One Medical Plaza Pampa TX 79065 Ph: (806) 663-5500 | Prime Healthcare Services Pampa Llc 3023 Perryton Pkwy Pampa TX 79065-2821 Ph: (806) 661-8245 |
| NPI Number | 1659993145 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 5092979716 |
|---|---|
| Medicare Enrollment ID | O20200702000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659993145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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