Active NPI
High Plains Family Medicine PA
- Rural Health Clinic/Center
- Borger, TX
National Provider Identifier
1043358757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 673821
- Legal business name
- HIGH PLAINS FAMILY MEDICINE PA
- Practice address
- 104 N Bryan St
Borger, TX 79007-4010 - Phone
- (806) 274-2986
- Fax
- (806) 274-9176
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Colquitt Nash, MD
- Title
- President / Provider
- Phone
- (806) 274-2986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 673821 | TX | Primary |
Addresses
Primary practice location
104 N Bryan St
Borger, TX 79007-4010
Mailing address
104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-2986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172322302 | Medicaid | TX |
Other names 1
- Borger Medical Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Borger, TX
- NPI 1013558675
-
- Family Medicine Physician
- Borger, TX
- NPI 1831416015
-
- Family Nurse Practitioner
- Borger, TX
- NPI 1356887491
-
- Family Nurse Practitioner
- Snyder, TX
- NPI 1033687173
-
- Physician Assistant
- New York, NY
- NPI 1265981641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1043358757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N BRYAN ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790074010",
"telephone_number": "806-274-2986",
"fax_number": "806-274-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N BRYAN ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790074010",
"telephone_number": "806-274-2986",
"fax_number": "806-274-9176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PLAINS FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "NASH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "COLQUITT",
"authorized_official_title_or_position": "PRESIDENT / PROVIDER",
"authorized_official_telephone_number": "806-274-2986",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "TX",
"license": "673821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172322302",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Borger Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Borger, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.