NPI | 1003813056 |
---|---|
Former Legal Business Name | SOUTH PLAINS HEALTH PROVIDER ORGANIZATION, INC. |
Entity Type | Organization |
Authorized Contact | RICK C LOVE CEO 806-293-8561 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX F1756) |
Enumeration Date | 2005-07-06 |
Last Update Date | 2024-05-09 |