| Organization Name: | REGENCE HEALTH NETWORK INC |
| NPI Number: | 1588662027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK C LOVE (CEO) |
| Mailing Address: | 125 W Park Ave Hereford |
| State: | TX US |
| Postal Code: | 790454201 |
| Phone Number: | 8063647688 |
| Fax Number: | 8063647694 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 05/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | F1756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |