Crane Medical Clinic Pa

LBN: Crane Medical Clinic Pa
Crane Medical Clinic Pa is an health care organization with primary practice located at 103 S Gaston St , Crane TX 79731-2019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Crane Medical Clinic Pa can be contacted via phone (432) 558-2223, or through Gumato, Jose via phone (432) 558-2223.

Contact Information

Primary practice address
103 S Gaston St Crane TX 79731-2019
Phone: (432) 558-2223
Fax: (432) 558-2208
Website:
Map and Directions
Authorized official contact:
Name: Gumato, Jose
Phone: (432) 558-2223

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1053504639
LBN Legal business name Crane Medical Clinic Pa
DBA Doing business as
Authorized official Gumato, Jose
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Oct 5th, 2010 - about 15 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 1053504639 NPPES
Texas MEDICAID 180163101

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