South Plains College

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SOUTH PLAINS COLLEGE

Practice address

1401 College Ave
Levelland, TX 79336-6503

Phone

(806) 716-2376

Fax

(806) 894-7961

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Teresa Green

Title

Vice President for Business Affairs

Phone

(806) 716-2205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deette Edens, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Levelland, TX
  • NPI 1912744483
  Medicare reassignment NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1437989423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 COLLEGE AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366503",
            "telephone_number": "806-716-2205",
            "fax_number": "806-894-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COLLEGE AVE",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366503",
            "telephone_number": "806-716-2376",
            "fax_number": "806-894-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "806-716-2205"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shima N/a Setork, DMD
• Antonio Silva
• Peggy June Skinner, PH.D., LPC
• John Robert Slider, OD
• SLP Levelland LLC
• South Plains Community Action Association, Inc.
• South Plains Community Action Association, Inc.
• South Plains Community Action Association, Inc.
• South Plains Community Action Association, Inc.
• South Plains Community Action Association, Inc.

• Health Service Clinic/Center in Levelland, TX
• Providers in Levelland, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.