Provider Demographics
NPI:1598823783
Name:PANHANDLE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PANHANDLE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:CARTER-PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-659-3110
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:SPEARMAN
Mailing Address - State:TX
Mailing Address - Zip Code:79081-0064
Mailing Address - Country:US
Mailing Address - Phone:806-659-3110
Mailing Address - Fax:806-644-1112
Practice Address - Street 1:511 W 11TH AVE
Practice Address - Street 2:SUITE111
Practice Address - City:SPEARMAN
Practice Address - State:TX
Practice Address - Zip Code:79081-3800
Practice Address - Country:US
Practice Address - Phone:806-659-3110
Practice Address - Fax:806-644-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010124251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010124OtherSTATE LICENSE NUMBER
TX677919Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER