Ellington Rural Health Clinic

LBN: Ellington Memorial Clinic, Llp
Ellington Rural Health Clinic is an health care organization with primary practice located at 1011 South Williams Street , Atlanta TX 75551-3245. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Ellington Memorial Clinic, Llp can be contacted via phone (903) 796-2868, or through Carney, Anita G via phone (903) 796-2868.

Contact Information

Primary practice address
1011 South Williams Street Atlanta TX 75551-3245
Phone: (903) 796-2868
Fax: (903) 796-0826
Website:
Map and Directions
Authorized official contact:
Name: Carney, Anita G
Phone: (903) 796-2868

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X Texas

Profile Details

NPI number 1760483770
LBN Legal business name Ellington Memorial Clinic, Llp
DBA Doing business as Ellington Rural Health Clinic
Authorized official Carney, Anita G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 21st, 2022 - 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 1760483770 NPPES
Texas Other 04709 BCBS
Texas MEDICAID 133389002 BCBS
Texas MEDICAID 133389004 BCBS
Texas Other 88966 BCBS
Texas MEDICAID 133389005 BCBS

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