Provider Demographics
NPI:1043465669
Name:2NPS INC
Entity Type:Organization
Organization Name:2NPS INC
Other - Org Name:FARWELL MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP-BC
Authorized Official - Phone:806-481-1000
Mailing Address - Street 1:301 THIRD STREET
Mailing Address - Street 2:P.O. BOX 689
Mailing Address - City:FARWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79325-0689
Mailing Address - Country:US
Mailing Address - Phone:806-481-1000
Mailing Address - Fax:806-481-1005
Practice Address - Street 1:301 THIRD STREET
Practice Address - Street 2:BOX 689
Practice Address - City:FARWELL
Practice Address - State:TX
Practice Address - Zip Code:79325-0689
Practice Address - Country:US
Practice Address - Phone:806-481-1000
Practice Address - Fax:806-481-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOA3118Medicare UPIN
TXQ59649Medicare UPIN
TX8F10100Medicare PIN