CROSS TIMBERS HEALTH CLINICS, INC (NPI# 1679867576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679867576 |
Entity Type | Organization |
Organization Name | CROSS TIMBERS HEALTH CLINICS, INC |
Other Organization Name | ACCELHEALTH |
Practice Address |
104 South Park Drive Brownwood TX 76801-5918 |
Mailing Address |
1100 West Reynosa Avenue De Leon TX 76444-1630 |
Practice Telephone | 2548935895 |
Practice Fax Number | 2548935222 |
Mailing Telephone | 2548935895 |
Mailing Fax Number | 8665116662 |
Enumeration Date | 2011-06-08 |
Last Update Date | 2019-03-25 |
Authorized Official Name | SHERRY L. HILL (CEO) |
Authorized Official Telephone | 2548935895 |
Authorized Official Credential | MPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 126862508 | 05 |
Other Name | Type Code |
---|---|
AccelHealth | Doing Business As Name - Organization |
Brownwood Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275830390 | Cross Timbers Health Clinics, Inc | Clinic/Center | 135 River North Blvd, Stephenville, TX 76401-1804 | 2011-02-25 |
Street Address |
104 SOUTH PARK DRIVE |
City | BROWNWOOD |
State | TX |
Zip Code | 76801-5918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
Find all providers in zip 76801 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588778260 | Cross Timbers Health Clinics, Inc. | Clinic/Center | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2006-08-18 |
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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.