Provider Demographics
NPI:1659187649
Name:TAYLOR COUNTY
Entity type:Organization
Organization Name:TAYLOR COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:325-670-9552
Mailing Address - Street 1:400 OAK ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1527
Mailing Address - Country:US
Mailing Address - Phone:325-670-9552
Mailing Address - Fax:
Practice Address - Street 1:400 OAK ST STE 104
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1527
Practice Address - Country:US
Practice Address - Phone:325-670-9552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No291U00000XLaboratoriesClinical Medical Laboratory