Provider Demographics
NPI:1083862379
Name:PANHANDLE FAMILY CARE LLC
Entity Type:Organization
Organization Name:PANHANDLE FAMILY CARE LLC
Other - Org Name:FAMILY CARE CLINIC OF CLAUDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JEFFREYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-640-4215
Mailing Address - Street 1:201 PARKS ST
Mailing Address - Street 2:
Mailing Address - City:CLAUDE
Mailing Address - State:TX
Mailing Address - Zip Code:79019-3868
Mailing Address - Country:US
Mailing Address - Phone:806-640-4215
Mailing Address - Fax:
Practice Address - Street 1:201 PARKS ST
Practice Address - Street 2:
Practice Address - City:CLAUDE
Practice Address - State:TX
Practice Address - Zip Code:79019-3868
Practice Address - Country:US
Practice Address - Phone:806-226-5611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PANHANDLE FAMILY CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200790801Medicaid