NPIMap

Organization Active NPI

Regence Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Plainview, TX
National Provider Identifier
1083613640
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
321756-01 Issued in TX
Legal business name
REGENCE HEALTH NETWORK INC
Practice address
410 Canyon St
Plainview, TX 79072-7508
Phone
(806) 293-8561
NPI assigned
Jul 18, 2005
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Rick C Love
Title
Ceo
Phone
(806) 293-8561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 321756-01 TX Primary

Addresses

Primary practice location

410 Canyon St
Plainview, TX 79072-7508

Mailing address

2801 W 8TH St
Plainview, TX 79072-6737
Phone (806) 293-8561

Other names 1

  • South Plains Health Provider Organization, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000813 TX Part B Supplier - Clinic/Group Practice 5698682557 Receives reassigned benefits from 32 practitioners
3 other NPIs on this enrollment
Practice locations: Amarillo, TX; Plainview, TX; Hereford, TX
O20060926000598 TX Part A Provider - Federally Qualified Health Center (FQHC) 5698682557 Practice locations: Plainview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083613640. Details of each certification follow.

Federally qualified health center certification: CCN 451859

Legal name
REGENCE HEALTH NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1973 in TX
Enrollment address
410 Canyon St
Plainview, TX 79072-7508

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0506774Regence Health Network, Inc410 Canyon Street, Plainview, TX 79072Provider-performed microscopyMar 31, 2027

National Provider Directory

National Provider Directory

Locations

2601 Dimmitt Rd
#10110
Plainview, TX 79072

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rick Love Individual Corporate DirectorCeo Sep 6, 2006
Perry Lee Collins Individual Corporate DirectorBoard Member Oct 26, 2022
Sylvia Chavez Individual Corporate DirectorBoard Member Nov 30, 2022
Joe Alonzo Individual Corporate Director Oct 1, 2009
James Driskill Individual Corporate DirectorCco Apr 1, 2023
Sean Wehrly Individual Corporate DirectorBoard Member Jul 25, 2013
Derek Martin Individual Corporate DirectorCfo Oct 1, 2009
Nancy Kernell Individual Corporate DirectorBoard Member Oct 26, 2022
Margaret Bell Individual Corporate DirectorBoard Treasurer Mar 4, 2020
Michael Hemphill Individual Corporate DirectorCoo Oct 1, 2009
Robert Martinez Individual Corporate DirectorBoard Member Jun 1, 2013
Robert M Bidwell Individual Operational/Managerial ControlLab Director Manager Oct 1, 2009
Verlene Dickson Individual Corporate DirectorBoard Vice President Dec 7, 2016
Gary Swann Individual Corporate DirectorBoard Member Oct 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1083613640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W 8TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726737",
            "telephone_number": "806-293-8561",
            "fax_number": "806-293-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CANYON ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790727508",
            "telephone_number": "806-293-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-293-8561"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "321756-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Plains Health Provider Organization, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "South Plains Health Provider Organization, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.