Organization Name: | SOUTH PLAINS RURAL HEALTH SERVICES, INC. |
NPI Number: | 1417328279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA HASKELL (CFO) |
Mailing Address: | 1300 S Gregg Street Lamesa |
State: | TX US |
Postal Code: | 79331 |
Phone Number: | 4325174557 |
Fax Number: | 4325174561 |
NPI Enumeration Date: | 10/19/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 537334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |