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
Corporate family (same tax ID) 1
Practitioners 1
-
Kim McArthur, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
1100 Highway 86
Bovina, TX 79009
Phone (806) 238-1005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
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
{
"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
- Bovina Independent School District
- Erika Carrillo
- City of Bovina
- Family Healthcare of Bovina TX
- Family Healthcare of Bovina, PC
- Kim McArthur
- Mickaela Munoz
- Mindy R Neal
- Jeanette Marie Silva
- Don Paul Spring Sr.
All providers in Bovina, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.