Family Healthcare of Bovina, PC

Organization Active NPI Family Nurse Practitioner · Bovina, TX

NPI 1982017737 · NPPES record last updated Jun 10, 2014

Key facts

NPI
1982017737
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
723166 (TX)
Legal business name
FAMILY HEALTHCARE OF BOVINA, PC
Practice address
1100 Highway 86
Bovina, TX 79009-4518
Phone
(806) 238-1005
Fax
(806) 238-1003
NPI assigned
Jun 10, 2014
Organization subpart
No

Authorized official

Name
Kimberly B McArthur, FNP-C
Title
Owner
Phone
(806) 238-1005

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140925000056 TX Part B Supplier - Clinic/Group Practice 3375763360 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bovina, TX

National Provider Directory

Tax ID family
Family Health Care of Bovina PC Texas (2 organizations share this tax ID)

Locations

1100 Highway 86
Bovina, TX 79009
Phone (806) 238-1005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X 723166 TX Yes

Addresses

Primary practice location

1100 Highway 86
Bovina, TX 79009-4518

Mailing address

1100 Highway 86
Bovina, TX 79009-4518
Phone (806) 238-1005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2014.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1982017737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 86",
            "city": "BOVINA",
            "state": "TX",
            "postal_code": "790094518",
            "telephone_number": "806-238-1005",
            "fax_number": "806-238-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 86",
            "city": "BOVINA",
            "state": "TX",
            "postal_code": "790094518",
            "telephone_number": "806-238-1005",
            "fax_number": "806-238-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE OF BOVINA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-238-1005",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bovina, TX

All providers in Bovina, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.