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

208 W 2ND St
Muleshoe, TX 79347-3631

Phone

(806) 272-5538

Fax

(806) 272-5792

NPI assigned

Jul 8, 2005

Last updated

Jun 24, 2008By 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 1

Addresses

Other identifiers 1

Other names 1

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

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1205834744",
    "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": "208 W 2ND ST",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793473631",
            "telephone_number": "806-272-5538",
            "fax_number": "806-272-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-06-24",
        "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": "F1756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019044901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Plains Health Provider Organization, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
• Preferred Hospital Leasing Muleshoe, Inc. (Medical Clinic of Muleshoe)
• Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
• Cheryl Lynette Puckett, PTA
• Jerry D. Redwine, O.D.
• Robert L. Lepard D.D.S.,P.a.
• Johnny Don Roberts, FNP
• RSP of Muleshoe, LLC (Roden-Smith Pharmacy)
• Sandhills LTC
• Stephen Seymore, LAT

• Federally Qualified Health Center (FQHC) in Muleshoe, TX
• Providers in Muleshoe, 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 Jun 24, 2008; 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.