Regence Health Network, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

REGENCE HEALTH NETWORK, INC.

Practice address

1301 S Coulter St
Suite 200
Amarillo, TX 79106-1765

Phone

(806) 322-3273

Fax

(806) 322-3274

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Rick C. Love

Title

Ceo

Phone

(806) 293-8561

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 671977

Legal name

REGENCE HEALTH NETWORK, INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 16, 2012

Last certification

Feb 16, 2012

Ownership / control type

For profit – corporation

Facility address

1301 S Coulter
Amarillo, TX 79106

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1922394097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W 8TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726737",
            "telephone_number": "806-293-8561",
            "fax_number": "806-293-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "SUITE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061765",
            "telephone_number": "806-322-3273",
            "fax_number": "806-322-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-293-8561"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "00P907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312641901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Joseph Regan, LCSW
• Regen RX PLLC
• Regence Health Network Inc
• Regence Health Network Inc
• Regence Health Network, Inc.
• Regenerative Medicine Center of Texas, PLLC
• Region 16 Education Service Center
• Rehabilitation Hospital of Amarillo Inc
• James Franklin Reid, M.D.
• Katy Frances Reid, FNP-C

• Federally Qualified Health Center (FQHC) in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.