PRIME HEALTHCARE SERVICES PAMPA LLC (NPI# 1659993145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659993145 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES PAMPA LLC |
| Practice Address |
3023 Perryton Pkwy Pampa TX 79065-2821 |
| Mailing Address |
One Medical Plaza Pampa TX 79065 |
| Practice Telephone | 8066618245 |
| Mailing Telephone | 8066635500 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Telephone | 3102594706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pampa Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740683887 | Prime Healthcare Services Pampa LLC | Medicare Defined Swing Bed Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2014-10-03 |
| 1295088433 | Prime Healthcare Services Pampa LLC | Anesthesiology | 100 W 30th Ave, Pampa, TX 79065-2814 | 2012-10-25 |
| 1225381072 | Prime Healthcare Services Pampa LLC | Obstetrics & Gynecology | 100 W 30th Ave, Suite 106, Pampa, TX 79065-2814 | 2012-10-17 |
| 1639438146 | Prime Healthcare Services Pampa LLC | Psychiatric Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2012-05-04 |
| 1386902138 | Prime Healthcare Services Pampa LLC | General Acute Care Hospital | One Medical Plaza, Pampa, TX 79065-2821 | 2012-04-30 |
| Street Address |
3023 PERRYTON PKWY |
| City | PAMPA |
| State | TX |
| Zip Code | 79065-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329502 | Melinda J Hiscock | Obstetrics & Gynecology | 3023 Perryton Pkwy, Ste 202, Pampa, TX 79065-2821 | 2006-01-06 |
| 1568849362 | Vanessa Workman | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-04-30 |
| 1023495819 | Pampa Medical Group | Clinic/Center | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-04-30 |
| 1841689320 | Melissa Trimmier | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2015-01-21 |
| 1841610573 | Jeanine Marie Malone | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2014-04-21 |
| 1114278306 | Family Med Now, Pllc | Physician Assistant | 3023 Perryton Pkwy, Suite 100, Pampa, TX 79065-2821 | 2012-09-27 |
| 1154681484 | Family Medicine Center of Amarillo, P.a. | Family Medicine | 3023 Perryton Pkwy, Suite 100, Pampa, TX 79065-2821 | 2012-05-21 |
| 1427335439 | Nathin Leroy Seals | Pharmacist | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2011-11-05 |
| 1134459472 | Mohannad Basem Bisharat | Internal Medicine | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2010-01-08 |
| 1750560298 | Tiffany Dawn Shadle | Nurse Practitioner | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2821 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
| 1225154826 | Assisted Living Concepts Inc | Assisted Living Facility | 3005 Ne 2nd Street, Mineral Wells, TX 79065 | 2007-03-22 |
| 1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
| 1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
| 1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
| 1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
| 1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
| 1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
| 1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
| 1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
| Find all providers in zip 79065 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518411644 | Hemphill County Hospital District | Clinic/Center | 701 N Price Rd, Pampa, TX 79065-5126 | 2016-08-05 |
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|---|---|---|---|---|
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| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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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.