FRONTERA HEALTHCARE NETWORK (NPI# 1205375037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205375037 |
| Entity Type | Organization |
| Organization Name | FRONTERA HEALTHCARE NETWORK |
| Other Organization Name | FRONTERA HEALTHCARE NETWORK - EDEN DENTAL |
| Practice Address |
212 Jackson Street Eden TX 76837-0246 |
| Mailing Address |
604 Eaker Po Box 989 Eden TX 76837-0989 |
| Practice Telephone | 3258698471 |
| Mailing Telephone | 3258695500 |
| Mailing Fax Number | 3258695692 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | MR. CAM R KLEIBRINK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3258695500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Frontera Healthcare Network - Eden Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739679 | Frontera Healthcare Network | Clinic/Center | 1211 S Bridge St, Brady, TX 76825-6229 | 2017-02-13 |
| 1447594247 | Frontera Healthcare Network | Clinic/Center | 119 S. Ellis St, Menard, TX 76859-0889 | 2012-11-16 |
| 1801143664 | Frontera Healthcare Network | Clinic/Center | 2205 S Bridge St Ste 300, Brady, TX 76825-7552 | 2012-08-11 |
| 1235381088 | Frontera Healthcare Network | Clinic/Center | 216 W College Ave, Mason, TX 76856-3104 | 2008-10-10 |
| 1548517303 | Frontera Healthcare Network | Clinic/Center | 509 College St, Junction, TX 76849-4733 | 2012-08-11 |
| 1528258555 | Frontera Healthcare Network | Clinic/Center | 551 Eaker Street, Eden, TX 76837-0889 | 2007-07-26 |
| Street Address |
212 JACKSON STREET |
| City | EDEN |
| State | TX |
| Zip Code | 76837-0246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497579 | Girly Orlando Tubayan | Physical Therapy Assistant | 613 Eaker Street, Eden, TX 76837 | 2018-05-18 |
| 1134252570 | City of Eden | Ambulance | 102 Gordon St., Eden, TX 76837 | 2007-03-14 |
| 1700862166 | Pedro Castro | General Practice | 551 Eaker Street, Eden, TX 76837 | 2005-12-19 |
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| 1649815283 | Jakalyn Jane Gossett | Physician Assistant | 614 Eaker St, Eden, TX 76837 | 2019-11-07 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 1447403118 | Eden II Enterprises, LLC | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2008-10-28 |
| 1477855013 | Eden Ems Inc | Ambulance | 102 Gordon St, Eden, TX 76837-0000 | 2010-12-02 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205486297 | The Caswell Family Medical Center, Inc. | Clinic/Center | 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | 2019-09-12 |
| 1528258555 | Frontera Healthcare Network | Clinic/Center | 551 Eaker Street, Eden, TX 76837-0889 | 2007-07-26 |
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| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
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| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.