SPUR MEDICAL CORPORATION (NPI# 1336322247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336322247 |
Entity Type | Organization |
Organization Name | SPUR MEDICAL CORPORATION |
Other Organization Name | SPUR CLINIC |
Practice Address |
Rr 1 Box 17 907 E. Hill St Spur TX 79370-9302 |
Practice Telephone | 8062713306 |
Practice Fax Number | 8062714256 |
Mailing Telephone | 8062713306 |
Mailing Fax Number | 8062714256 |
Enumeration Date | 2007-12-13 |
Last Update Date | 2007-12-18 |
Authorized Official Name | GLENDA WHITE (ADMINISTRATOR) |
Authorized Official Telephone | 8062713306 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | F3709 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE GROUP | 00081N | 01 |
TX | NPI | 1275617177 | 01 |
TX | MEDICARE | 86930N | 01 |
TX | MEDICAL LICENCE | F3709 | 01 |
Other Name | Type Code |
---|---|
Spur Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093868556 | Spur Medical Corporation | Family Medicine | 907 E Hill St, Spur, TX 79370-2532 | 2007-01-19 |
Street Address |
RR 1 BOX 17 907 E. HILL ST |
City | SPUR |
State | TX |
Zip Code | 79370-9302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942349162 | Dana Sue Tilton | Pharmacist | 315 Burlington Ave, Spur, TX 79370 | 2007-02-05 |
1952452781 | Dickens County Ambulance Service | Ambulance | 2414 State Highway 70, Spur, TX 79370 | 2007-01-16 |
1346469459 | Dana's Pharmacy Inc. | Pharmacy | 315 Burlington Ave, Spur, TX 79370 | 2007-04-25 |
1235624784 | Spur Independent School District | Local Education Agency (LEA) | 800 Williams Ave, Spur, TX 79370-2020 | 2018-06-27 |
1073013850 | Andrew Christopher Hendry I | Technician | 413 Carroll Ave, Spur, TX 79370-2356 | 2018-02-18 |
1679773170 | Aphrodite Leasing LLC | Skilled Nursing Facility | 905 East Hill Street, Spur, TX 79370-2532 | 2007-07-23 |
1093868556 | Spur Medical Corporation | Family Medicine | 907 E Hill St, Spur, TX 79370-2532 | 2007-01-19 |
1336547587 | Stonewall Memorial Hospital | Family Medicine | 907 E Hill St, Spur, TX 79370-2532 | 2014-12-19 |
1285787762 | Jennifer Warren | Nurse Practitioner | 907 E Hill St, Spur, TX 79370-2532 | 2007-01-19 |
1073896163 | David Edward Morgan Sr. | Chiropractor | 820 County Road 458, Spur, TX 79370-5242 | 2011-09-24 |
Find all providers in zip 79370 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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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.