BUNA MEDICAL CLINIC NPI 1306066568

NPI Information

NPI: 1306066568
Provider Name: BUNA MEDICAL CLINIC

Former Legal Business Name: GAYLE A PUGH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
35607 HWY 96 SOUTH
BUNA, TX
ZIP 77612
Phone: (409) 994-9323
Get Directions

BUNA MEDICAL CLINIC is a rural health clinic center in Buna, TX. BUNA MEDICAL CLINIC NPI is 1306066568. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gayle A Pugh.

The provider's business location address is:

35607 HWY 96 SOUTH
BUNA, TX
ZIP 77612-600
Phone: (409) 994-9323
Fax: (409) 994-9290

The provider's authorized official is Lara D West .
The authorized official title is Billing Manager and has the following contact phone number (409) 994-9323.

The CLIA number assigned to this NPI record is 45D0996154 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 11/8/2016.

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	261QR1300X	Clinic/Center	Rural Health			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	153391103	OTHER	TEXAS	MEDICAID TX HEALTH STEPS
2	153391101	MEDICAID	TEXAS
3	00726U	MEDICARE PIN	TEXAS
4	=========	OTHER	TEXAS	TIN
5	673844	MEDICARE OSCAR/CERTIFICATION	TEXAS
6	S53556	MEDICARE UPIN	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

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