Healthcare Provider Details

I. General information

NPI: 1528236544
Provider Name (Legal Business Name): PERRYTON HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S TAYLOR ST C/O TEXAS PANHANDLE FAMILY PLANNING AND HEALTH CENTERS
AMARILLO TX
79101-4307
US

IV. Provider business mailing address

1501 S TAYLOR ST C/O TEXAS PANHANDLE FAMILY PLANNING AND HEALTH CENTERS
AMARILLO TX
79101-4307
US

V. Phone/Fax

Practice location:
  • Phone: 806-372-8731
  • Fax: 806-372-8731
Mailing address:
  • Phone: 806-372-8731
  • Fax: 806-372-8746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberL9981
License Number StateTX

VIII. Authorized Official

Name: MR. EDWARD LEROY SCHAFFNER
Title or Position: CEO
Credential:
Phone: 806-435-3606