NPIMap

Organization Active NPI

Mexia Principal Healthcare Limited Partnership

Doing business as Parkveiw Rural Health Clinic of Buffalo

  • Rural Health Clinic/Center
  • Buffalo, TX
National Provider Identifier
1376096263
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Doing business as
Parkveiw Rural Health Clinic of Buffalo
Practice address
1686 W US Highway 79
Buffalo, TX 75831-3490
Phone
(903) 322-1215
Fax
(903) 322-1217
NPI assigned
Jul 27, 2016
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Mona Jill Ferguson, FNP
Title
Market Director
Phone
(254) 562-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1686 W US Highway 79
Buffalo, TX 75831-3490

Mailing address

PO Box 669
Buffalo, TX 75831-0669
Phone (903) 322-1215

Other names 1

  • Parkveiw Rural Health Clinic of Buffalo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000848 TX Part B Supplier - Clinic/Group Practice 8921911876 Receives reassigned benefits from 23 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Groesbeck, TX; Mexia, TX; Teague, TX

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Mexia Principal Healthcare9 organizations share this tax ID, including this one
Part of
Mexia Principal Healthcare

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1376096263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "758310669",
            "telephone_number": "903-322-1215",
            "fax_number": "903-322-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W US HIGHWAY 79",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "758313490",
            "telephone_number": "903-322-1215",
            "fax_number": "903-322-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "MARKET DIRECTOR",
        "authorized_official_telephone_number": "254-562-9321",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkveiw Rural Health Clinic of Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.