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PANHANDLE FAMILY CARE LLC NPI 1487886966


NPI Information

NPI: 1487886966
Provider Name: PANHANDLE FAMILY CARE LLC

Doing Business As: FAMILY CARE CLINIC OF PANHANDLE

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 45D1104421

Address:
102 HWY 60 E
PANHANDLE, TX
ZIP 79068
Phone: (806) 532-2273
Get Directions

PANHANDLE FAMILY CARE LLC is a nurse practitioner in Panhandle, TX. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PANHANDLE FAMILY CARE LLC NPI is 1487886966. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Care Clinic Of Panhandle.

The provider's business location address is:

102 HWY 60 E
PANHANDLE, TX
ZIP 79068
Phone: (806) 532-2273
Fax: (806) 532-2276

The provider's authorized official is Holly L Jeffreys .
The authorized official title is Administrator and has the following contact phone number (806) 532-2273.

The CLIA number assigned to this NPI record is 45D1104421 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/17/2009 and was last updated on 2/10/2021.


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
1261QR1300XClinic/CenterRural HealthNo
2363L00000XNurse Practitioner648580TEXASYes

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
1209147203MEDICAIDTEXAS

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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