Family Medicine Clinic

LBN: Family Medicine Rural Health Clinic, Pa
Family Medicine Clinic is an health care organization with primary practice located at 2401 Walker Place Blvd , Copperas Cove TX 76522-4025. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Family Medicine Rural Health Clinic, Pa can be contacted via phone (254) 547-5516, or through Lane, Mark S via phone (512) 556-3621.

Contact Information

Primary practice address
2401 Walker Place Blvd Copperas Cove TX 76522-4025
Phone: (254) 547-5516
Fax: (254) 542-0039
Website:
Map and Directions
Authorized official contact:
Name: Lane, Mark S Doctor of Medicine (MD)
Phone: (512) 556-3621

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X Texas

Profile Details

NPI number 1700150869
LBN Legal business name Family Medicine Rural Health Clinic, Pa
DBA Doing business as Family Medicine Clinic
Authorized official Lane, Mark S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2012
Last updated Mar 20th, 2017 - about 8 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 1700150869 NPPES
Texas MEDICAID 121186403
Texas MEDICAID 121186402
Texas Other 458905
Texas Other 00U72J
Texas MEDICAID 121186401

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