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NPI Code Detail

MEDICARE: SILVER CITY HEALTH FACILITIES LP

MEDICARE: SILVER CITY HEALTH FACILITIES LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1093NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104179639
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER CITY HEALTH FACILITIES LP
Provider Business Mailing Address
First Line : 5420 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4823
Country : US
Telephone Number : 972-931-3800
Fax Number : 972-767-6222
Provider Business Practice Location Address
First Line : 3514 N FOWLER AVE
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-7210
Country : US
Telephone Number : 575-388-3127
Fax Number : 575-388-4061
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MRS. JAMIE L COLLIER
Credential :
Telephone Number : 972-931-3800
Provider Enumeration Date : 10/22/2012
Last Update Date : 08/19/2015

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Directions to “SILVER CITY HEALTH FACILITIES LP ” Practice Location

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