Regence Health Network Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Plainview, TX
NPI 1396741237 · NPPES record last updated Nov 11, 2010
Key facts
- NPI
- 1396741237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- F1756 (TX)
- Legal business name
- REGENCE HEALTH NETWORK INC
- Practice address
- 2601 Dimmitt Rd
Suite 101,102,104
Plainview, TX 79072-1833 - Phone
- (806) 293-8561
- Fax
- (806) 293-8413
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Rick C Love
- Title
- Cheif Executive Officer
- Phone
- (806) 293-8561
Other NPIs on the same Medicare enrollment 3
Practitioners 39
-
Robert Bidwell, M.D.
-
Wilson Alan Cochrane, PA-C
-
Cassondra Collins, LPC
-
Perry Lee Collins, LPC
-
Joseph Dad, LPC
-
Tanya Deleon, FNP
-
Yusuf Dundar, MD
-
Cathi Lynne Eggart, FNP-C
-
Griselda Anna Garza, NP-C
-
Bradley H Hough, M.D.
-
Matthew Huang, DDS
-
Evelyn Veronica Iglesias, FNP-C
-
Samuel L Jurado Jr., P.A.
-
Jiwon Kang, DDS
-
Morgan G Leak, M.D.
-
Jessica Suzahne Leist, PA-C
-
Angela Paulette Muniz, MSN-FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000813 | TX | Part B Supplier - Clinic/Group Practice | 5698682557 |
Receives reassigned benefits from 32 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amarillo, TX; Plainview, TX; Hereford, TX |
National Provider Directory
Locations
824 Martin Rd
Amarillo, TX 79107
Phone (806) 374-7341
713 N Taylor St
Amarillo, TX 79107
Phone (806) 331-2962
110 N 25 Mile Ave
#A
Hereford, TX 79045
Phone (806) 364-7688
110 N 25 Mile Ave
Hereford, TX 79045
Phone (806) 364-7688
2601 Dimmitt Rd
#104
Plainview, TX 79072
Phone (806) 291-0297
2601 Dimmitt Rd
#101
Plainview, TX 79072
Phone (806) 291-6987
2606 Yonkers St
Ste 4
Plainview, TX 79072
Phone (806) 293-2270
2601 Dimmitt Rd
Ste 101
Plainview, TX 79072
Phone (806) 291-6187
2601 Dimmitt Rd
#102
Plainview, TX 79072
Phone (806) 293-2270
2601 Dimmitt Rd
Ste 10110
Plainview, TX 79072
Phone (806) 293-8561
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | F1756 | TX | Yes |
Addresses
Primary practice location
2601 Dimmitt Rd
Suite 101,102,104
Plainview, TX 79072-1833
Mailing address
2801 W 8TH St
Plainview, TX 79072-6737
Phone (806) 293-8561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135077902 | Medicaid | TX |
Other names
- South Plains Health Provider Organization, Inc.
Other providers in Plainview, TX
- Noelia Quezada
- Radar Supports
- Ruth Kristine Rector-Wright
- Regence Health Network Inc
- Regence Health Network Inc
- Regence Health Network, Inc
- Regence Health Network, Inc.
- Joann Rey
- Kelsey Elaine Richardson
- Sandra Berta Rivera
All providers in Plainview, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.