Provider Demographics
NPI:1285760561
Name:PANHANDLE CASE MANAGEMENT
Entity type:Organization
Organization Name:PANHANDLE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:806-274-9057
Mailing Address - Street 1:130 ABILENE ST
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-6402
Mailing Address - Country:US
Mailing Address - Phone:806-274-9057
Mailing Address - Fax:806-274-4101
Practice Address - Street 1:130 ABILENE ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-6402
Practice Address - Country:US
Practice Address - Phone:806-274-9057
Practice Address - Fax:806-274-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04726251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management