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FRIENDLY NEIGHBORHOOD HEALTH CLINIC PLLC NPI 1184973216


NPI Information

NPI: 1184973216
Provider Name: FRIENDLY NEIGHBORHOOD HEALTH CLINIC, PLLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 45D2049597

Address:
617 E LOOP 499 STE C
HARLINGEN, TX
ZIP 78550
Phone: (956) 428-8264
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FRIENDLY NEIGHBORHOOD HEALTH CLINIC, PLLC is a preferred provider organization in Harlingen, TX. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. FRIENDLY NEIGHBORHOOD HEALTH CLINIC, PLLC NPI is 1184973216. The provider is registered as an organization entity type.

The provider's business location address is:

617 E LOOP 499 STE C
HARLINGEN, TX
ZIP 78550-477
Phone: (956) 428-8264
Fax: (956) 425-3642

The provider's authorized official is Tami Terese Dittburner .
The authorized official title is Provider/owner and has the following contact phone number (956) 428-8264.

The CLIA number assigned to this NPI record is 45D2049597 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 11/20/2013.


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
1302R00000XHealth Maintenance Organization520212TEXASNo
2305R00000XPreferred Provider Organization520212TEXASYes

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
1Q43654MEDICARE UPINTEXAS
28D5333MEDICAIDTEXAS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.