Central Plains Center Icf
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Plainview, TX
NPI 1154522498 · NPPES record last updated Jul 25, 2008
Key facts
- NPI
- 1154522498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- CENTRAL PLAINS CENTER ICF
- Practice address
- 405 Ennis
Plainview, TX 79072-1826 - Phone
- (806) 291-4450
- Fax
- (806) 291-4480
- NPI assigned
- May 31, 2007
- Reactivated
- Jul 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ron Trusler
- Title
- Ceo
- Phone
- (806) 293-2636
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Central Plains Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
405 Ennis
Plainview, TX 79072-1826
Mailing address
2700 Yonkers
Plainview, TX 79072-1826
Phone (806) 293-2636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000393901 | Other | TX | ICF |
| 000393901 | Medicaid | TX |
Other names
- ICF
Other providers in Plainview, TX
- Central Plains Center
- Central Plains Center
- Central Plains Center
- Central Plains Center Eci
- Central Plains Center for Mental Health Mental Retardation & Sa
- Oscar Chavira Jr.
- Muming Chen
- Childress County Hospital District
- City of Plainview
- City of Plainview
All providers in Plainview, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.