Clifton Dane Smith (NPI# 1962546820, PAC ID# 2961597638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962546820 |
| PAC ID by PECOS | 2961597638 |
| Professional Enrollment ID | I20070926001202 |
| Full Name | Clifton Dane Smith |
| Organization Legal Name | COCHRAN MEMORIAL HOSPITAL |
| Address |
201 E Grant Ave Morton TX 79346-3444 |
| Phone Number | 8062665565 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769391192 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451366 | COCHRAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E Grant Ave, Morton, TX 79346-3444 | 8062665565 | COCHRAN MEMORIAL HOSPITAL |
| Organization Legal Name | COCHRAN MEMORIAL HOSPITAL |
| Physicians | 1 |
| Street Address |
201 E GRANT AVE |
| City | MORTON |
| State | TX |
| Zip | 79346-3444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Vo Hughes Iii | Family Medicine | 201 E Grant Ave, Morton, TX 79346-3444 |
| City | MORTON |
| Zip Code | 79346 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MORTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clifton Dane Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.