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NPI Code Detail

MEDICARE: FE DEERE INC

MEDICARE: FE DEERE INC
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
1313M00000XNursing Facility/Intermediate Care Facility114209TX
2314000000XSkilled Nursing Facility114209TX

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 : 1952305724
Entity Type Code : Organization
Provider Name (Legal Business Name) : FE DEERE INC
Provider Business Mailing Address
First Line : 4838 HOLLY ROAD
Second Line : SUITE 201
City : CORPUS CHRISTI
State : TX
Zip : 78411-4753
Country : US
Telephone Number : 361-991-7021
Fax Number : 361-991-9162
Provider Business Practice Location Address
First Line : 3922 W RIVER DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78410-5725
Country : US
Telephone Number : 361-767-2000
Fax Number : 361-767-2006
Authorized Official
Title or Position : PRESIDENT
Name : MR. FRANCIS E DEERE
Credential :
Telephone Number : 361-991-9021
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/18/2007

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