Provider Demographics
NPI:1023242906
Name:PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT
Entity type:Organization
Organization Name:PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RETTA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:806-938-2299
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:HART
Mailing Address - State:TX
Mailing Address - Zip Code:79043-0727
Mailing Address - Country:US
Mailing Address - Phone:806-938-2299
Mailing Address - Fax:
Practice Address - Street 1:6TH STREET AND LYLES
Practice Address - Street 2:
Practice Address - City:TURKEY
Practice Address - State:TX
Practice Address - Zip Code:79261
Practice Address - Country:US
Practice Address - Phone:806-423-1324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAINVIEW FOUNDTION FOR RURAL HEALTH ADVANCEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty