Plainview Foundation for Rural Health Advancement

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT

Doing business as

Earth Medical Clinic

Practice address

202 E. Main Street
Earth, TX 79031

Phone

(806) 257-3329

NPI assigned

May 5, 2009

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENTAs reported in NPPES

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

Authorized official

Name

Retta J Knox, RN

Title

Executive Director

Phone

(806) 938-2299

Specialties & licenses 1

Addresses

Other names 1

• Earth Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Plainview Foundation for Rural Health Advancement

  dba Turkey Medical Clinic

  • Family Medicine Physician
  • Turkey, TX
  • NPI 1023242906

  O20091117000327

  Same enrollment
• Plainview Foundation for Rural Health Advancement

  dba Hart School Clinic

  • Family Medicine Physician
  • Hart, TX
  • NPI 1215075734

  O20091117000327

  Same enrollment

Tax ID family

Plainview Foundation for Rural Health Advancement2 organizations share this tax ID, including this one

Part of

Plainview Foundation for Rural Health Advancement

Other organizations with this tax ID 1

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

• Plainview Foundation for Rural Health Advancement

  dba Turkey Medical Clinic

  • Family Medicine Physician
  • Turkey, TX
  • NPI 1023242906
  NPD tax ID

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1174757223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "HART",
            "state": "TX",
            "postal_code": "790430727",
            "telephone_number": "806-938-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E. MAIN STREET",
            "city": "EARTH",
            "state": "TX",
            "postal_code": "79031",
            "telephone_number": "806-257-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "RETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-938-2299",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earth Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Earth
• Samuel James Ott I, R.T.R
• Springlake-Earth Isd
• Verizon Portable Xray Service Inc.

• Family Medicine Physician in Earth, TX
• Providers in Earth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.