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NPI Code Detail

MEDICARE: BRINKER SCC LLC

MEDICARE: BRINKER SCC LLC
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
1314000000XSkilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number : 1932344769
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRINKER SCC LLC
Provider Business Mailing Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-289-3268
Fax Number : 940-380-9610
Provider Business Practice Location Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-289-3268
Fax Number : 940-380-9610
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : JASON PRICE
Credential :
Telephone Number : 949-477-5800
Provider Enumeration Date : 12/08/2008
Last Update Date : 09/04/2020

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Directions to “BRINKER SCC LLC ” Practice Location

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