Organization
ACS PRIMARY CARE PHYSICIANS SOUTHWEST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HARDY (PROVIDER ENROLLMENT DIRECTOR)
(925) 251-6901
Entity
Organization
Contact information
Practice address
1900 HOSPITAL BLVD, GAINESVILLE, TX 76240-2002
(925) 924-1600
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3348
(925) 924-1600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019LM
BCBS OF TEXAS
TX
01
—
0096MG
TEXAS BCBS
TX
05
—
170873701
—
TX
05
—
170873702
—
TX
05
—
170873704
—
TX
05
—
170873705
—
TX
01
—
DC7040
PALMETTO GOVERNMENT BENEF
TX
01
—
DC7459
MEDICARE RR - PALMETTO
TX
01
—
DC8546
PALMETTO GOVERNMENT BENEF
TX
01
—
DD7728
MEDICARE RR - PALMETTO
TX
Enumeration date
06/11/2006
Last updated
02/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us