Organization
REGENCE HEALTH NETWORK INC
Active
Other names
South Plains Health Provider Organization, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK C LOVE (CHEIF EXECUTIVE OFFICER)
(806) 293-8561
Entity
Organization
Contact information
Practice address
2601 DIMMITT RD, SUITE 101,102,104, PLAINVIEW, TX 79072-1833
(806) 293-8561
(806) 293-8413
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
—
135077902
—
TX
Enumeration date
06/24/2005
Last updated
11/11/2010
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