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ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS INC. NPI 1699332338


NPI Information

NPI: 1699332338
Provider Name: ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D1091364

Address:
2401 WALKER PLACE BLVD
COPPERAS COVE, TX
ZIP 76522
Phone: (254) 547-5516
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ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC. is a rural health clinic center in Copperas Cove, TX. ADVENTHEALTH FAMILY MEDICINE RURAL HEALTH CLINICS, INC. NPI is 1699332338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2401 WALKER PLACE BLVD
COPPERAS COVE, TX
ZIP 76522-025
Phone: (254) 547-5516
Fax: (254) 542-0039

The provider's authorized official is Kelly Jasinski .
The authorized official title is Vice President Physician Enterprise and has the following contact phone number (817) 568-4556.

The CLIA number assigned to this NPI record is 45D1091364 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/28/2019 and was last updated on 10/6/2020.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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

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