BEHAVIORAL CLINIC


Address: One Medical Plaza, Pampa, TX 79065-2814
Phone: 8066653721

BEHAVIORAL CLINIC (NPI# 1073894382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073894382
Entity Type Organization
Organization Name BEHAVIORAL CLINIC
Practice Address One Medical Plaza
Pampa
TX 79065-2814
Practice Telephone 8066653721
Practice Fax Number 8066652361
Mailing Telephone 8066653721
Mailing Fax Number 8066652361
Enumeration Date 2011-08-31
Last Update Date 2011-08-31
Authorized Official Name MR. WM. G. BUCK (CEO)
Authorized Official Telephone 8066635500
Is Organization Subpart Y
Parent Organization Name SIGNATURE PAMPA REGIONAL MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
0008329 TX Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Behavioral Clinical Services, Inc. 2801 B Street, Unit 2101, San Diego, CA 92102

Office Location

Street Address ONE MEDICAL PLAZA
City PAMPA
State TX
Zip Code 79065-2814

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1295075976 Spmg Signature Pampa Medical Group Anesthesiology One Medical Plaza, Attn: Pampa Medical Group Clinic Director, Pampa, TX 79065-2814 2013-02-18
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NPI Name Taxonomy Address Enumeration
1841317690 Assisted Living Concepts Inc Assisted Living Facility 812 W 25th Street, Pampa, TX 79065 2007-03-26
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City PAMPA
Zip Code 79065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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