Medical Care Enterprises PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MEDICAL CARE ENTERPRISES PLLC

Practice address

725 S Bliss Ave
Dumas, TX 79029-4436

Phone

(806) 452-1032

NPI assigned

May 5, 2023

Last updated

Jun 12, 2024By 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

Mrs. Jynna Ulrich, PANPI 1154467637

Title

Owner

Phone

(806) 681-7265

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730878505. Details of each certification follow.

• CCN 678927 Rural health clinic · Active · Details

Rural health clinic certification: CCN 678927

Legal name

MEDICAL CARE ENTERPRISES PLLC

Doing business as

COMPLETE FAMILY CARE BY JYNNA ULRICH PA-C

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 10, 2024

Last certification

Apr 10, 2024

Ownership / control type

1B

Organization structure

LLCProprietary

Enrollment address

725 S Bliss Ave
Dumas, TX 79029-4436

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

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Carmen Purl, M.D.

  • Family Medicine Physician
  • Sunray, TX
  • NPI 1710987102

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Jynna J Ulrich, PA

  • Medical Physician Assistant
  • Dumas, TX
  • NPI 1154467637

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 3

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.

• Jynna J Ulrich, PA

  • Medical Physician Assistant
  • Dumas, TX
  • NPI 1154467637
  Medicare reassignment Authorized official
• Carmen Purl, M.D.

  • Family Medicine Physician
  • Sunray, TX
  • NPI 1710987102
  NPD
• Bud E Faris, DO

  • Family Medicine Physician
  • Dumas, TX
  • NPI 1922179712
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1730878505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790291900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S BLISS AVE",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790294436",
            "telephone_number": "806-452-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "JYNNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-681-7265",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucerne Womens Health Services PA
• Zachary Lujan, MA IN COUNSELING
• Ashley Brooke Mader
• Deepika Mahant, DDS
• Debra Ann Mars
• Maria De Jesus Mejia, PTA
• Haylie Melton
• Timothy Robert Michaud, OTR
• Mid-States Medical, Inc.
• Edilberto R Miguel, MD

• Rural Health Clinic/Center in Dumas, TX
• Providers in Dumas, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.