COMPLETE TEMPLE FSER FACILITY LLC (NPI# 1568098119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568098119 |
| Entity Type | Organization |
| Organization Name | COMPLETE TEMPLE FSER FACILITY LLC |
| Practice Address |
1551 W Central Ave Temple TX 76504-4005 |
| Mailing Address |
910 S Kimball Ave Southlake TX 76092-9005 |
| Practice Telephone | 2544355900 |
| Mailing Telephone | 8174210034 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | JULIE J RADLEY (COO) |
| Authorized Official Telephone | 7135912256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
1551 W CENTRAL AVE |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118198 | 1551 W Central Er Physicians Pllc | Emergency Medicine | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1265880751 | Premier Er Plus - Temple, LLC | Clinic/Center | 7010 W. Adams Ave., Suite 100, Temple, TX 76502 | 2016-05-25 |
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| 1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
| 1649811787 | Cibolo Emergency Physicians, Pllc | Clinic/Center | 580 Cibolo Valley Dr Ste 137, Cibolo, TX 78108-3834 | 2019-09-30 |
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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.