Provider Demographics
NPI:1669421731
Name:BANGS SCHOOL BASED HEALTH CLINIC
Entity type:Organization
Organization Name:BANGS SCHOOL BASED HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-752-7236
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:BANGS
Mailing Address - State:TX
Mailing Address - Zip Code:76823-0370
Mailing Address - Country:US
Mailing Address - Phone:325-752-7236
Mailing Address - Fax:325-752-6974
Practice Address - Street 1:700 NTH 3RD
Practice Address - Street 2:
Practice Address - City:BANGS
Practice Address - State:TX
Practice Address - Zip Code:76823-0370
Practice Address - Country:US
Practice Address - Phone:325-752-7236
Practice Address - Fax:325-752-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center