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Organization

SOUTH PLAINS RURAL HEALTH SERVICES, INC.

Active
Other names
South Plains Rural Health Services, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUDITH MARIE MADURA M.D. (CHIEF EXECUTIVE OFFICER)
(806) 894-7842
Entity
Organization

Contact information

Practice address
1000 FM 300, LEVELLAND, TX 79336-6235
(806) 894-7842
(806) 894-3378
Mailing address
1000 FM 300, LEVELLAND, TX 79336-6235
(806) 894-7842
(806) 894-3378

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082907901
TX
05
121513902
TX
Enumeration date
08/11/2006
Last updated
12/29/2023
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