Active NPI
Family Medicine Rural Health Clinic, PA
- Family Medicine Physician
- Lampasas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2017
- 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
- Dr. Mark S Lane, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG2858 | Other | TX | RAILROAD MEDICARE |
| 00U72J | Other | TX | BLUE CROSS/BLUE SHIELD |
| 121186401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Lampasas, TX
- NPI 1174505176
-
- Family Nurse Practitioner
- Copperas Cove, TX
- NPI 1114353117
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.