Copper Creek Plaza

LBN: Ahcs 3, Lp
Copper Creek Plaza is an health care organization with primary practice located at 302 Pearlstone Street , Buffalo TX 75831. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ahcs 3, Lp can be contacted via phone (903) 322-4208, or through Peterson, Alan D via phone (817) 919-7495.

Contact Information

Primary practice address
302 Pearlstone Street Buffalo TX 75831
Phone: (903) 322-4208
Fax: (903) 322-3874
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Alan D LNFA
Phone: (817) 919-7495

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 117842 Texas

Profile Details

NPI number 1891978847
LBN Legal business name Ahcs 3, Lp
DBA Doing business as Copper Creek Plaza
Authorized official Peterson, Alan D LNFA
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2007
Last updated Dec 17th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891978847 NPPES
Texas MEDICAID 004916

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