MEDICARE: PANHANDLE COMMUNITY SERVICES

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	347B00000X	Bus

General Provider Information

NPI Number	:	1912316548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANHANDLE COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	1309 W. 8TH STREET
Second Line	:	PO BOX 32150
City	:	AMARILLO
State	:	TX
Zip	:	79120
Country	:	US
Telephone Number	:	806-372-2531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 W. 8TH STREET
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79120
Country	:	US
Telephone Number	:	806-372-2531
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MAGI YORK
Credential	:
Telephone Number	:	806-372-2531

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	08/07/2014

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Directions to “PANHANDLE COMMUNITY SERVICES ” Practice Location

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