REGENCE HEALTH NETWORK INC (NPI# 1588662027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662027 |
| Entity Type | Organization |
| Organization Name | REGENCE HEALTH NETWORK INC |
| Other Organization Name | SOUTH PLAINS HEALTH PROVIDER ORGANIZATION, INC. |
| Practice Address |
125 W Park Ave Hereford TX 79045-4201 |
| Mailing Address |
2801 W 8th St Plainview TX 79072-6737 |
| Practice Telephone | 8063647688 |
| Practice Fax Number | 8063647694 |
| Mailing Telephone | 8062938561 |
| Mailing Fax Number | 8062938413 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2010-05-24 |
| Authorized Official Name | RICK C LOVE (CEO) |
| Authorized Official Telephone | 8062938561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
F1756 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 019041501 | 05 |
| Other Name | Type Code |
|---|---|
| South Plains Health Provider Organization, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743837 | Regence Health Network Inc | Clinic/Center | 1224 Main St, Matador, TX 79244 | 2005-07-08 |
| 1114925658 | Regence Health Network Inc | Dentist | 715 Amarillo St, Plainview, TX 79072-6743 | 2005-07-08 |
| 1033117577 | Regence Health Network Inc | Clinic/Center | 723 N Taylor St, Suite B, Amarillo, TX 79107-5279 | 2005-07-08 |
| 1003813056 | Regence Health Network Inc | Clinic/Center | 850 Martin Rd, Amarillo, TX 79107-6814 | 2005-07-06 |
| 1396741237 | Regence Health Network Inc | Clinic/Center | 2601 Dimmitt Rd, Suite 101,102,104, Plainview, TX 79072-1833 | 2005-06-24 |
| 1083613640 | Regence Health Network Inc | Clinic/Center | 2601 Dimmitt Rd, 101,102,104, Plainview, TX 79072-1833 | 2005-07-18 |
| 1205834744 | Regence Health Network Inc | Clinic/Center | 208 W 2nd St, Muleshoe, TX 79347-3631 | 2005-07-08 |
| Street Address |
125 W PARK AVE |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457801599 | Amy Stovall | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2016-10-13 |
| 1053663781 | Levina Christine Herr | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2012-10-04 |
| 1508138496 | Jo-ann V Collantes | Dentist | 125 W Park Ave, Hereford, TX 79045-4201 | 2012-02-07 |
| 1306159371 | Erik W. Permann | Dentist | 125 W Park Ave, Hereford, TX 79045-4201 | 2010-07-20 |
| 1659694230 | Meredith L Stewart-lovelady | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2010-03-10 |
| 1659560233 | Barnes Elite Medical Care | Family Medicine | 125 W Park Ave, Hereford, TX 79045-4201 | 2007-10-18 |
| 1629267208 | Synergy Medical Care | Family Medicine | 125 W Park Ave, Hereford, TX 79045-4201 | 2007-10-18 |
| 1568655579 | Griselda Anna Garza | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2007-08-22 |
| 1932298403 | Autumn Semmelmann | Physician Assistant | 125 W Park Ave, Hereford, TX 79045-4201 | 2006-10-12 |
| 1508859000 | Melinda Heathcoat Burney | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| 1447392303 | Mary Jessica Mertins | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2007-02-13 |
| 1780723791 | Trevor Rohm | Emergency Medicine | 540 W 15th St, Hereford, TX 79045 | 2007-02-06 |
| 1043273873 | Sean Daryl Wengroff | Obstetrics & Gynecology | 540 W 15th St, Hereford, TX 79045 | 2006-04-11 |
| 1285600957 | John E Hartin | Nurse Anesthetist, Certified Registered | 540 W 15th St, Hereford, TX 79045 | 2006-02-23 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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 |
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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.