Healthcare Provider Details

I. General information

NPI: 1609870021
Provider Name (Legal Business Name): B & H HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S. GOODNIGHT
CLARENDON TX
79226-0220
US

IV. Provider business mailing address

PO BOX 220
CLARENDON TX
79226-0220
US

V. Phone/Fax

Practice location:
  • Phone: 806-874-0042
  • Fax: 806-874-0049
Mailing address:
  • Phone: 806-874-0042
  • Fax: 806-874-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number12425
License Number StateTX

VIII. Authorized Official

Name: MRS. BRENDA L JANUARY
Title or Position: ADMINISTRATOR / PRESIDENT
Credential:
Phone: 806-874-0042