Organization
COUNTY OF WARD
Active
Other names
Sandhills Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA RODRIGUEZ (CEO)
(432) 943-2511
Entity
Organization
Contact information
Practice address
813 E 4TH ST, MONAHANS, TX 79756-4015
(432) 943-2068
(432) 943-3114
Mailing address
PO BOX 40, MONAHANS, TX 79756-0040
(432) 943-2068
(432) 943-3114
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064HD
BLUE CROSS BLUE SHIELD TX
TX
01
—
092075302
CHIPS
TX
05
—
092075302
—
TX
01
—
105864100
FIRSTCARE SW HEALTH
TX
Enumeration date
08/04/2006
Last updated
01/28/2014
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