Pca Greenville

LBN: Healthtexas Provider Network
Pca Greenville is an health care organization with primary practice located at 4400 Ih 30 W Suite 100, Greenville TX 75402-4620. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Healthtexas Provider Network can be contacted via phone (469) 800-3524, or through Harding, Jessica via phone (469) 800-8500.

Contact Information

Primary practice address
4400 Ih 30 W Suite 100 Greenville TX 75402-4620
Fax: (469) 800-3564
Website:
Authorized official contact:
Name: Harding, Jessica

Health care specialties

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

Profile Details

NPI number 1790723468
LBN Legal business name Healthtexas Provider Network
DBA Doing business as Pca Greenville
Authorized official Harding, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 7th, 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 1790723468 NPPES
Texas Other 00J629 BCBS GROUP
Texas MEDICAID 137940607 BCBS GROUP
Texas MEDICAID 091888002 BCBS GROUP
Texas MEDICAID 137940601 BCBS GROUP

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