Provider Demographics
NPI:1861490054
Name:ESSENT PRMC LP
Entity Type:Organization
Organization Name:ESSENT PRMC LP
Other - Org Name:PARIS HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7220
Mailing Address - Street 1:PO BOX 9070
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-9070
Mailing Address - Country:US
Mailing Address - Phone:903-737-3218
Mailing Address - Fax:903-737-3375
Practice Address - Street 1:2224 BONHAM ST
Practice Address - Street 2:ATTN: FACILITY CEO
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3790
Practice Address - Country:US
Practice Address - Phone:903-739-2299
Practice Address - Fax:903-739-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2022-07-21
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
TX165400605OtherTH STEPS
TX165400603Medicaid
TX458639Medicare Oscar/Certification