MEDICARE: BORGER HEALTHCARE CENTER

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
1	314000000X	Skilled Nursing Facility	110513	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1255329603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORGER HEALTHCARE CENTER

Provider Business Mailing Address
First Line	:	1316 S FLORIDA ST
Second Line	:	NONE
City	:	BORGER
State	:	TX
Zip	:	79007-6306
Country	:	US
Telephone Number	:	806-273-3785
Fax Number	:	806-274-5976

Provider Business Practice Location Address
First Line	:	1316 S FLORIDA ST
Second Line	:	NONE
City	:	BORGER
State	:	TX
Zip	:	79007-6306
Country	:	US
Telephone Number	:	806-273-3785
Fax Number	:	806-274-5976

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ALLINE NMI BURLEY
Credential	:	LFNA
Telephone Number	:	806-273-3785

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/22/2020

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Directions to “BORGER HEALTHCARE CENTER ” Practice Location

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