FRONTERA HEALTHCARE NETWORK NPI 1447594247

NPI Information

NPI: 1447594247
Provider Name: FRONTERA HEALTHCARE NETWORK

Doing Business As: FRONTERA HEALTHCARE NETWORK - MENARD MEDICAL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
119 S. ELLIS ST
MENARD, TX
ZIP 76859
Phone: (325) 396-4733
Get Directions

FRONTERA HEALTHCARE NETWORK is a federally qualified health center (fqhc) clinic center in Menard, TX. FRONTERA HEALTHCARE NETWORK NPI is 1447594247. The provider is registered as an organization entity type.
The provider Is Doing Business As Frontera Healthcare Network - Menard Medical.

The provider's business location address is:

119 S. ELLIS ST
MENARD, TX
ZIP 76859-889
Phone: (325) 396-4733
Fax: (325) 396-2055

The provider's authorized official is Mikki Hand .
The authorized official title is Executive Director and has the following contact phone number (325) 869-5500.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 2/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	188389402	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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