Organization Active NPI

Family Medicine Rural Health Clinic, PA

  • Family Medicine Physician
  • Lampasas, TX
National Provider Identifier
1073665915
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE RURAL HEALTH CLINIC, PA
Practice address
187 PR 4060
Lampasas, TX 76550-4071
Phone
(512) 556-3621
Fax
(512) 556-6594
NPI assigned
Jan 18, 2007
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Dr. Mark S Lane, M.D.NPI 1174505176
Title
Physician
Phone
(512) 556-3621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

187 PR 4060
Lampasas, TX 76550-4071

Mailing address

207 W Avenue E
Lampasas, TX 76550-1820
Phone (512) 556-3621

Other identifiers 3

IdentifierTypeStateIssuer
CG2858OtherTXRAILROAD MEDICARE
00U72JOtherTXBLUE CROSS/BLUE SHIELD
121186401MedicaidTX

National Provider Directory

National Provider Directory

Locations

206 Town Sq
Copperas Cove, TX 76522
Phone (254) 547-5516

2401 Walker Place Blvd
Copperas Cove, TX 76522
Phone (254) 547-5516

187 Private Road 4060
#200
Lampasas, TX 76550
Phone (512) 556-3621

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1073665915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W AVENUE E",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501820",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PR 4060",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765504071",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE RURAL HEALTH CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-556-3621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2858",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00U72J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121186401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.