LONE STAR CIRCLE OF CARE (NPI# 1801446182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801446182 |
Entity Type | Organization |
Organization Name | LONE STAR CIRCLE OF CARE |
Practice Address |
2112 Sw H K Dodgen Loop Ste 110 Temple TX 76504-7011 |
Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
Practice Telephone | 8778005722 |
Mailing Telephone | 5126860207 |
Mailing Fax Number | 5125510163 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |
Authorized Official Name | RHONDA MUNDHENK (CEO) |
Authorized Official Telephone | 5126860207 |
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 |
---|---|
Lone Star Circle of Care at Temple | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588096473 | Lone Star Circle of Care | Social Worker | 101 Fm 685, Hutto, TX 78634-5540 | 2013-08-02 |
1780923045 | Lone Star Circle of Care | Clinic/Center | 11111 Research Blvd Ste 295, Austin, TX 78759-5281 | 2013-02-06 |
1346550464 | Lone Star Circle of Care | Clinic/Center | 600 S 25th St, Temple, TX 76504-5227 | 2010-10-08 |
1245554583 | Lone Star Circle of Care | Pharmacy | 3950 North Aw Grimes, Suite N105, Round Rock, TX 78665 | 2010-03-16 |
1003051673 | Lone Star Circle of Care | Clinic/Center | 905 Ih 35 N, Suite 109, Round Rock, TX 78664-4254 | 2008-12-10 |
1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
1639225550 | Lone Star Circle of Care | Case Manager/Care Coordinator | 3102 Minthorn Dr, Killeen, TX 76542-1932 | 2007-01-25 |
1447316898 | Lone Star Circle of Care | Clinic/Center | 2300 Round Rock Ave Ste 208, Round Rock, TX 78681-4026 | 2006-12-29 |
1578515987 | Lone Star Circle of Care | Clinic/Center | 115 West Davilla, Granger, TX 76530 | 2006-05-16 |
1437109881 | Lone Star Circle of Care | Clinic/Center | 1099 East Main Street, Suite 200, Round Rock, TX 78664 | 2006-05-10 |
Street Address |
2112 SW H K DODGEN LOOP STE 110 |
City | TEMPLE |
State | TX |
Zip Code | 76504-7011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578820866 | Kuang-wei Eric Chang | Radiology | 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | 2012-04-12 |
1184126997 | Jimmy Lance Spakes II | Nurse Practitioner | 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | 2018-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
Find all providers in zip 76504 |
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 |
---|---|---|---|---|
1346550464 | Lone Star Circle of Care | Clinic/Center | 600 S 25th St, Temple, TX 76504-5227 | 2010-10-08 |
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1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
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 |
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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.