NPI: 1114925658
Provider Name: REGENCE HEALTH NETWORK INC
Former Legal Business Name: SOUTH PLAINS HEALTH PROVIDER ORGANIZATION, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
715 AMARILLO ST
PLAINVIEW, TX
ZIP 79072
Phone: (806) 293-8561
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REGENCE HEALTH NETWORK INC is a federally qualified health center (fqhc) clinic center in Plainview, TX. REGENCE HEALTH NETWORK INC NPI is 1114925658. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is South Plains Health Provider Organization, Inc..
The provider's business location address is:
715 AMARILLO ST
PLAINVIEW, TX
ZIP 79072-743
Phone: (806) 293-8561
Fax: (806) 291-0072
The provider's authorized official is Rick C Love .
The authorized official title is Ceo and has the following contact phone number (806) 293-8561.
The enumeration date for this NPI number is 7/8/2005 and was last updated on 2/19/2009.