PCA ELLINGTON – NPI #1689899916
Clinic/Center

PCA ELLINGTON is an AHC clinic located in GREENVILLE, TX. NPPES has assigned the NPI number 1689899916 to PCA ELLINGTON on April 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PCA ELLINGTON” is a dba name, the actual legal business name for this organization is HEALTH TEXAS PROVIDER NETWORK. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 10 years ago on Nov 23, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PCA ELLINGTON below.

NPI Profile for
HEALTH TEXAS PROVIDER NETWORK

NPI Number
1689899916
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTH TEXAS PROVIDER NETWORK
Doing Business As (dba): PCA ELLINGTON
Primary location
4803 WESLEY ST
GREENVILLE, TX 75401
Phone: (903) 454-2246 Fax: (903) 450-1718
Mailing address
PO BOX 844128
DALLAS, TX 75284-4128
Phone: (469) 800-3524 Fax: (469) 800-3564
Organization Subpart
No
Authorized Official
SHERL MORRIS
OPERATIONS MANAGER
Phone: (469) 800-3524
Updated
Identifiers

Identifiers for PCA ELLINGTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS GROUPTX007EE
OTHERRAILROAD MEDICARETXP00134601
MEDICAIDTX137940608
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.