Provider Demographics
NPI:1154440741
Name:ARMSTRONG COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:ARMSTRONG COUNTY MEDICAL CENTER
Other - Org Name:CLAUDE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-226-5611
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:CLAUDE
Mailing Address - State:TX
Mailing Address - Zip Code:79019-0130
Mailing Address - Country:US
Mailing Address - Phone:806-226-5611
Mailing Address - Fax:806-226-6703
Practice Address - Street 1:201 PARKS STREET
Practice Address - Street 2:
Practice Address - City:CLAUDE
Practice Address - State:TX
Practice Address - Zip Code:79019
Practice Address - Country:US
Practice Address - Phone:806-226-5611
Practice Address - Fax:806-226-6703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673819Medicare Oscar/Certification
TXH11248Medicare PIN
TX00205RMedicare PIN