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Contact Information

CLARKSVILLE NURSING CENTER, L.P.
300 E BAKER ST
CLARKSVILLE, TX75426-5034
 Phone: 903-427-2236
 Fax: 903-427-5235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CLARKSVILLE NURSING CENTER, L.P.

NPI Number 1992793038
LBN Legal business name CLARKSVILLE NURSING CENTER, L.P.
Authorized official PETER LICARI - (PRESIDENT OF GENERAL PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2005
Last updated 10/26/2007 - About 19 years ago
Identifiers
TX License # 108380
TX License # 114514
TX Medicaid 004495
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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