Alvord Medical Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALVORD MEDICAL CLINIC, PA

Practice address

115 E Bypass 287
Ste a
Alvord, TX 76225-7778

Phone

(940) 427-2858

Fax

(940) 427-2857

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Jefferson B Alling, MD

Title

MD/Owner

Phone

(940) 627-7829

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Jack County Hospital District

  • Rural Health Clinic/Center
  • Alvord, TX
  • NPI 1831674209

  Sold to, 2018-11-01

  CMS change of ownership

Practitioners 1

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

• Susan R Hansford-Orsburn, FNP

  • Family Medicine Physician
  • Alvord, TX
  • NPI 1053417857
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1740237148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762250049",
            "telephone_number": "940-427-2858",
            "fax_number": "940-427-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BYPASS 287",
            "address_2": "STE A",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762257778",
            "telephone_number": "940-427-2858",
            "fax_number": "940-427-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVORD MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ALLING",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "940-627-7829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "453934",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175292501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF4050",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111571903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 4C International, LLC
• Abby K Adams, FNP
• Alvord Isd
• Shannon Anderson, RN
• Jana D Bittick, RNFA
• Ann Caddell
• Megan Cardenas, MSCCCSLP
• Kirstie Marie Caruthers

• Family Medicine Physician in Alvord, TX
• Providers in Alvord, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.