Clarksville Nursing Center

LBN: Clarksville Nursing Center, L.P.
Clarksville Nursing Center is an health care organization with primary practice located at 300 E Baker St , Clarksville TX 75426-5034. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Clarksville Nursing Center, L.P. can be contacted via phone (903) 427-2236, or through Licari, Peter J via phone (215) 441-7700.

Contact Information

Primary practice address
300 E Baker St Clarksville TX 75426-5034
Phone: (903) 427-2236
Fax: (903) 427-5235
Website:
Map and Directions
Authorized official contact:
Name: Licari, Peter J
Phone: (215) 441-7700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 108380 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 114514 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 114514 Texas

Profile Details

NPI number 1992793038
LBN Legal business name Clarksville Nursing Center, L.P.
DBA Doing business as Clarksville Nursing Center
Authorized official Licari, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992793038 NPPES
Texas MEDICAID 004495

Popular Providers