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REGION 16 EDUCATION SERVICE CENTER NPI 1770661050


NPI Information

NPI: 1770661050
Provider Name: REGION 16 EDUCATION SERVICE CENTER

Former Legal Business Name: REGION 16 EARLY CHILDHOOD INTERVENTION

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 45D1090018

Address:
5800 BELL ST
AMARILLO, TX
ZIP 79109
Phone: (806) 677-5224
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REGION 16 EDUCATION SERVICE CENTER is a developmental disabilities clinic center in Amarillo, TX. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). REGION 16 EDUCATION SERVICE CENTER NPI is 1770661050. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Region 16 Early Childhood Intervention.

The provider's business location address is:

5800 BELL ST
AMARILLO, TX
ZIP 79109-230
Phone: (806) 677-5224
Fax: (806) 677-5223

The provider's authorized official is Lance Terrell .
The authorized official title is Chief Financial Officer and has the following contact phone number (806) 677-5000.

The CLIA number assigned to this NPI record is 45D1090018 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 1/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017409601MEDICAIDTEXASTCM MEDICAID ID
2017409601MEDICAIDTEXAS

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

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