NPIMap

Organization Active NPI

Family Medicine Rural Health Clinic

  • Rural Health Clinic/Center
  • Grand Saline, TX
National Provider Identifier
1003195165
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
G7239 Issued in TX
Legal business name
FAMILY MEDICINE RURAL HEALTH CLINIC
Practice address
801 N Waldrip St
Suite B
Grand Saline, TX 75140-1024
Phone
(903) 962-7551
Fax
(903) 962-7122
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard L Ingrim, M.D.
Title
Owner
Phone
(903) 962-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X G7239 TX Primary

Addresses

Primary practice location

801 N Waldrip St
Suite B
Grand Saline, TX 75140-1024

Mailing address

801 N Waldrip St
Suite B
Grand Saline, TX 75140-1024
Phone (903) 962-7551

National Provider Directory

National Provider Directory

Locations

801 N Waldrip St
Ste B
Grand Saline, TX 75140
Phone (903) 962-7551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1003195165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N WALDRIP ST",
            "address_2": "SUITE B",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401024",
            "telephone_number": "903-962-7551",
            "fax_number": "903-962-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WALDRIP ST",
            "address_2": "SUITE B",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401024",
            "telephone_number": "903-962-7551",
            "fax_number": "903-962-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "INGRIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-962-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "G7239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Saline, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.