Organization Active NPI

Mexia Principal Healthcare Limitd Partnership

Doing business as Parkview Medical Clinic at Teague

  • Rural Health Clinic/Center
  • Teague, TX
National Provider Identifier
1831270693
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEXIA PRINCIPAL HEALTHCARE LIMITD PARTNERSHIP
Doing business as
Parkview Medical Clinic at Teague
Practice address
Highway 84 at 8TH Ave.
Teague, TX 75860
Phone
(254) 739-5090
Fax
(254) 739-5666
NPI assigned
Oct 18, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MEXIA PRINCIPAL HEALTHCARE LIMITD PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
William M. Gracey
Title
Coo
Phone
(615) 372-8500

Specialties & licenses 1

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

Addresses

Primary practice location

Highway 84 at 8TH Ave.
Teague, TX 75860

Mailing address

103 Powell CT
Ste. 200
Brentwood, TN 37027-5079
Phone (615) 372-8500

Other identifiers 1

IdentifierTypeStateIssuer
173417001MedicaidTX

Other names 1

  • Parkview Medical Clinic at Teague Doing business as

National Provider Directory

National Provider Directory
Part of
Mexia Principal Healthc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1831270693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 POWELL CT",
            "address_2": "STE. 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275079",
            "telephone_number": "615-372-8500",
            "fax_number": "615-337-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 84 AT 8TH AVE.",
            "city": "TEAGUE",
            "state": "TX",
            "postal_code": "75860",
            "telephone_number": "254-739-5090",
            "fax_number": "254-739-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXIA PRINCIPAL HEALTHCARE LIMITD PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEXIA PRINCIPAL HEALTHCARE LIMITD PARTNERSHIP",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173417001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Medical Clinic at Teague",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teague, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.