Organization
REGENCE HEALTH NETWORK INC
Active
Other names
South Plains Health Provider Organization, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICK C LOVE (CEO)
(806) 293-8561
Entity
Organization
Contact information
Practice address
208 W 2ND ST, MULESHOE, TX 79347-3631
(806) 272-5538
(806) 272-5792
Mailing address
2801 W 8TH ST, PLAINVIEW, TX 79072-6737
(806) 293-8561
(806) 293-8413
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
F1756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019044901
—
TX
Enumeration date
07/08/2005
Last updated
06/24/2008
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