| Regence Health Network Inc | |
|
208 W 2nd St Muleshoe TX 79347-3631 | |
| (806) 272-5538 | |
| (806) 272-5792 |
| Full Name | Regence Health Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 208 W 2nd St, Muleshoe, Texas |
| Authorized Official Name and Position | Rick C Love (CEO) |
| Authorized Official Contact | 8062938561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regence Health Network Inc 2801 W 8th St Plainview TX 79072-6737 Ph: (806) 293-8561 | Regence Health Network Inc 208 W 2nd St Muleshoe TX 79347-3631 Ph: (806) 272-5538 |
| NPI Number | 1205834744 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205834744 | NPI | - | NPPES |
| 019044901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | F1756 (Texas) | Primary |
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