NPI:
1396743837
Provider Name:
REGENCE HEALTH NETWORK INC
Former Legal Business Name: SOUTH PLAINS HEALTH PROVIDER ORGANIZATION, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1224 MAIN ST
MATADOR, TX
ZIP 79244
Phone:
(806) 347-2641
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REGENCE HEALTH NETWORK INC is a federally qualified health center (fqhc) clinic center in Matador, TX. REGENCE HEALTH NETWORK INC NPI is 1396743837. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is South Plains Health Provider Organization, Inc..
The provider's business location address is:
1224 MAIN ST
MATADOR, TX
ZIP 79244
Phone: (806) 347-2641
Fax: (806) 347-2780
The provider's authorized official is Rick C Love .
The authorized official title is Ceo and has the following contact phone number (806) 293-8561.
The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/24/2008.