Regence Health Network Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

F1756 Issued in TX

Legal business name

REGENCE HEALTH NETWORK INC

Practice address

715 Amarillo St
Plainview, TX 79072-6743

Phone

(806) 293-8561

Fax

(806) 291-0072

NPI assigned

Jul 8, 2005

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Regence Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Amarillo, TX
  • NPI 1003813056

  O20040105000813

  Same enrollment
• Regence Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Plainview, TX
  • NPI 1083613640

  O20040105000813

  Same enrollment
• Regence Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Plainview, TX
  • NPI 1396741237

  O20040105000813

  Same enrollment

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1114925658",
    "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": "715 AMARILLO ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726743",
            "telephone_number": "806-293-8561",
            "fax_number": "806-291-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-02-19",
        "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": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "F1756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135077904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Plains Health Provider Organization, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Premier Obstetrics & Gynecology, P.a.
• Noelia Quezada, PT
• Radar Supports
• Ruth Kristine Rector-Wright, D.O.
• Regence Health Network Inc
• Regence Health Network Inc
• Regence Health Network, Inc
• Regence Health Network, Inc.
• Joann Rey, LPC
• Kelsey Elaine Richardson, MD

• Federally Qualified Health Center (FQHC) in Plainview, TX
• Providers in Plainview, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.