MEDICARE: EVERGREEN 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	313M00000X	Nursing Facility/Intermediate Care Facility

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	:	1588652051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERGREEN HEALTHCARE CENTER

Provider Business Mailing Address
First Line	:	406 E 7TH ST
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-2017
Country	:	US
Telephone Number	:	940-569-2236
Fax Number	:	940-569-1299

Provider Business Practice Location Address
First Line	:	406 E 7TH ST
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-2017
Country	:	US
Telephone Number	:	940-569-2236
Fax Number	:	940-569-1299

Authorized Official
Title or Position	:	ADON/ MEDICARE MANAGER
Name	:	MRS. MICHELE RENE WHITE
Credential	:	LVN
Telephone Number	:	940-704-6682

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

Similar Medicare Providers

1780618835 — NOCONA HOSPITAL DISTRICT
Practice Location Address:

406 E 7TH ST
BURKBURNETT, TX
76354-2017

Practice Phone: 940-569-2236
Practice Fax: 940-569-0895

1912998378 — UNITED SUPERMARKETS LLC
Practice Location Address:

311 S AVENUE D
BURKBURNETT, TX
76354-3541

Practice Phone: 940-569-3319
Practice Fax: 940-569-5359

1518963362 — WILLIAM HUGH BRELAND
Practice Location Address:

208 S RED RIVER EXPY , STE E
BURKBURNETT, TX
76354-3752

Practice Phone: 940-569-3630
Practice Fax: 940-569-3752

1932101441 — MORGAN B. MOORE O.D.
Practice Location Address:

902 W KRAMER RD
BURKBURNETT, TX
76354-2640

Practice Phone: 940-569-4131
Practice Fax: 940-569-4648

1679550701 — MEREDITH PIERCE-CAMERON SLP
Practice Location Address:

100 N AVENUE D
BURKBURNETT, TX
76354-3509

Practice Phone: 940-569-3326
Practice Fax: 940-766-4943

1588621874 — DR. JONATHAN WAYNE WILLIAMS MD
Practice Location Address:

312 S AVE D
BURKBURNETT, TX
76354-3564

Practice Phone: 940-569-1177
Practice Fax: 940-569-4969

Directions to “EVERGREEN HEALTHCARE CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.