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COMMUNITY CARE MEDICAL CLINICS INC NPI 1891703922


NPI Information

NPI: 1891703922
Provider Name: COMMUNITY CARE MEDICAL CLINICS INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D2261172

Address:
1301 CLUBHOUSE DR
MANSFIELD, TX
ZIP 76063
Phone: (817) 225-6900
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COMMUNITY CARE MEDICAL CLINICS INC is a clinic center in Mansfield, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY CARE MEDICAL CLINICS INC NPI is 1891703922. The provider is registered as an organization entity type.

The provider's business location address is:

1301 CLUBHOUSE DR
MANSFIELD, TX
ZIP 76063-685
Phone: (817) 225-6900
Fax: (817) 225-6870

The provider's authorized official is Stephen Ramsey .
The authorized official title is Ceo and has the following contact phone number (817) 225-6900.

The CLIA number assigned to this NPI record is 45D2261172 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 6/24/2022.


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
1261Q00000XClinic/CenterL5124TEXASYes

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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