Chillicothe Family Clinic

LBN: Chillicothe Hospital
Chillicothe Family Clinic is an health care organization with primary practice located at 303 Avenue I Box 370, Chillicothe TX 79225-0370. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Hospitals / Critical Access. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Chillicothe Hospital can be contacted via phone (940) 852-5131, or through Williams, Brandi Roxanne via phone (918) 616-9953.

Contact Information

Primary practice address
303 Avenue I Box 370 Chillicothe TX 79225-0370
Fax: (940) 852-5252
Website:
Authorized official contact:
Name: Williams, Brandi Roxanne

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 00D13V Texas
Hospitals / Critical Access 282NC0060X 451326 Texas

Profile Details

NPI number 1548269590
LBN Legal business name Chillicothe Hospital
DBA Doing business as Chillicothe Family Clinic
Authorized official Williams, Brandi Roxanne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 4th, 2021 - about 3 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 1548269590 NPPES
Texas MEDICAID 111624601
Texas Other 00D13V
Texas MEDICAID 154632701

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