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Contact Information

CLARENDON NH OPERATIONS
TEN MEDICAL CENTER DRIVE
CLARENDON, TX79226
 Phone: 937-459-2297
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CLARENDON NH OPERATIONS

NPI # 1447619663
LBN Legal business name CLARENDON NH OPERATIONS
Authorized official SCOTT SPORE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2016
Last updated 01/03/2017 - About 9 years ago
Identifiers
TX License # 146235
TX Medicaid 004918
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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