NPIMap

Organization Active NPI

South Plains Rural Health Services, Inc.

Doing business as South Plains Dental Lamesa

  • Federally Qualified Health Center (FQHC)
  • Lamesa, TX
National Provider Identifier
1144333063
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH PLAINS RURAL HEALTH SERVICES, INC.
Doing business as
South Plains Dental Lamesa
Practice address
1005 North 16TH Street
Lamesa, TX 79331-3151
Phone
(806) 872-6310
Fax
(806) 872-6319
NPI assigned
Aug 16, 2006
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Dr. Judith Madura, M.D.NPI 1821102195
Title
Chief Executive Director
Phone
(806) 894-7842

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
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

1005 North 16TH Street
Lamesa, TX 79331-3151

Mailing address

1000 FM 300
Levelland, TX 79336-6235
Phone (806) 897-1987

Other identifiers 3

IdentifierTypeStateIssuer
019049801MedicaidTX
180034401MedicaidTX
386569302MedicaidTX

Other names 1

  • South Plains Dental Lamesa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Plains Rural HLTH SVCS in9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1005 N 16th St
Lamesa, TX 79331
Phone (806) 872-6310

1000 FM 300
Levelland, TX 79336
Phone (806) 894-7842

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCICD

Practitioners & affiliated clinicians

Practitioners 4

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1144333063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-897-1987",
            "fax_number": "806-894-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NORTH 16TH STREET",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313151",
            "telephone_number": "806-872-6310",
            "fax_number": "806-872-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MADURA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-894-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019049801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180034401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386569302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Plains Dental Lamesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamesa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.