MCET-WASKOM LIMITED LIABILITY COMPANY (NPI# 1184036790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184036790 |
Entity Type | Organization |
Organization Name | MCET-WASKOM LIMITED LIABILITY COMPANY |
Practice Address |
670 Spur 156 Waskom TX 75692-9129 |
Mailing Address |
Po Box 127 Waskom TX 75692-0127 |
Practice Telephone | 9036872093 |
Practice Fax Number | 9036872586 |
Mailing Telephone | 9036872586 |
Mailing Fax Number | 9036872093 |
Enumeration Date | 2014-06-02 |
Last Update Date | 2020-01-06 |
Authorized Official Name | MR. ROBERT JACOBS (SPONSOR) |
Authorized Official Telephone | 9035204710 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1000008 | TX | Ambulatory Health Care Facilities |
Street Address |
670 SPUR 156 |
City | WASKOM |
State | TX |
Zip Code | 75692-9129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689272601 | April Dawn Nelson | Counselor | 670 Spur 156, Waskom, TX 75692-9129 | 2020-10-12 |
1609474972 | Joan Carlin Briggs | Licensed Vocational Nurse | 670 Spur 156, Waskom, TX 75692-9129 | 2020-10-09 |
1609361385 | Randal Ratzlaff | Counselor | 670 Spur 156, Waskom, TX 75692-9129 | 2018-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700209426 | Complete Approach Hospice Care | Hospice Care, Community Based | 204 West Texas Ave., Waskom, TX 75692 | 2014-01-31 |
1346443827 | Complete Approach Home Health Care, LLC | Home Health | 202 West Texas Ave, Waskom, TX 75692 | 2007-06-11 |
1386762094 | Frank Mcilwain | Optometrist | 620 Interstate 20 Service Road, Waskom, TX 75692-0236 | 2007-03-27 |
1750531216 | Althea Mixon | Counselor | Spur 156, Suite 415, Waskom, TX 75692-0832 | 2008-09-22 |
1043300403 | Waskom Volunteer Fire Department and Ems Services Inc | Ambulance | 185 East Texas Ave, Waskom, TX 75692-1757 | 2006-10-13 |
1851622393 | Buddy Roger Siebenlist | Radiology | 757 Bellview Rd, Waskom, TX 75692-3425 | 2010-01-22 |
1003218124 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1005 E Texas Ave, Waskom, TX 75692-3652 | 2014-09-19 |
1033390984 | Dedria Bryan | Occupational Therapist | 476 Marcelene Dr, Waskom, TX 75692-6814 | 2007-11-20 |
1447750021 | Mereya Botello | Registered Nurse | 234 Don Long Rd, Waskom, TX 75692-7014 | 2018-02-20 |
1457820722 | Alisha Denise Head | Occupational Therapy Assistant | 658 Boggy Rd, Waskom, TX 75692-7441 | 2018-11-16 |
Find all providers in zip 75692 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
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1245765585 | Crossroads Treatment Center of Fort Worth, Pllc | Clinic/Center | 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2017-04-24 |
1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
1902263478 | Eldorado Texas Community Service Center | Clinic/Center | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-01-28 |
1891169215 | Medmark Treatment Centers of Texas,inc | Clinic/Center | 5004 Alameda Ave, El Paso, TX 79905-2804 | 2015-11-23 |
1598133472 | Inspired Hope Group LLC | Clinic/Center | 1228 W Scyene Rd Ste 230, Mesquite, TX 75149-3143 | 2015-09-09 |
1821419201 | Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr | Clinic/Center | 2615 S Lancaster Rd, Dallas, TX 75216-3112 | 2014-01-02 |
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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.