SAGE FAMILY MEDICINE ASSOCIATES PA NPI 1114173416

NPI Information

NPI: 1114173416
Provider Name: SAGE FAMILY MEDICINE ASSOCIATES, PA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D0507474

Address:
1020 E LEONA RD
UVALDE, TX
ZIP 78801
Phone: (830) 278-4588
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SAGE FAMILY MEDICINE ASSOCIATES, PA is a rural health clinic center in Uvalde, TX. SAGE FAMILY MEDICINE ASSOCIATES, PA NPI is 1114173416. The provider is registered as an organization entity type.

The provider's business location address is:

1020 E LEONA RD
UVALDE, TX
ZIP 78801-804
Phone: (830) 278-4588
Fax: (830) 278-4895

The provider's authorized official is Nellie Villanueva .
The authorized official title is Officemanager and has the following contact phone number (830) 278-4588.

The CLIA number assigned to this NPI record is 45D0507474 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	G8473	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063436201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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