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TRIANGLE AREA NETWORK INC NPI 1376584789


NPI Information

NPI: 1376584789
Provider Name: TRIANGLE AREA NETWORK INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2128281

Address:
1495 N 7TH ST
STE 5
BEAUMONT, TX
ZIP 77702
Phone: (409) 832-3377
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TRIANGLE AREA NETWORK INC is a federally qualified health center (fqhc) clinic center in Beaumont, TX. TRIANGLE AREA NETWORK INC NPI is 1376584789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1495 N 7TH ST
STE 5
BEAUMONT, TX
ZIP 77702-301
Phone: (409) 832-3377
Fax: (409) 832-3349

The provider's authorized official is Amanda M Gibson .
The authorized official title is Coo and has the following contact phone number (409) 832-8338.

The CLIA number assigned to this NPI record is 45D2128281 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/13/2022.


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
1207Q00000XFamily MedicineNo
2207Q00000XFamily MedicineTEXASNo
3363LF0000XNurse PractitionerFamilyNo
4363LF0000XNurse PractitionerFamilyTEXASNo
5261QF0400XClinic/CenterFederally 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
10060PDOTHERTEXASBCBS
21960627-01MEDICAIDTEXAS
3741944OTHERMEDICARE PART A

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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