Organization
RURAL HEALTH SOLUTIONS PA
Active
Other names
Taft Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS G MAIN DO (PHYSICIAN - OWNER)
(361) 387-9233
Entity
Organization
Contact information
Practice address
1210 GREGORY, SUITE # 2, TAFT, TX 78390-3045
(361) 528-2595
(361) 528-3452
Mailing address
PO BOX 10426, CORPUS CHRISTI, TX 78460-0426
(361) 241-6700
(361) 241-4302
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
J2176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137311014
—
TX
05
—
161238401
—
TX
05
—
161238402
—
TX
Enumeration date
06/15/2006
Last updated
08/15/2022
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