Provider Demographics
NPI:1508743113
Name:PRIME HEALTHCARE SERVICES PAMPA LLC
Entity type:Organization
Organization Name:PRIME HEALTHCARE SERVICES PAMPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-259-4706
Mailing Address - Street 1:503 W 1ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-4001
Mailing Address - Country:US
Mailing Address - Phone:806-591-2270
Mailing Address - Fax:806-669-1491
Practice Address - Street 1:503 W 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-4001
Practice Address - Country:US
Practice Address - Phone:806-591-2270
Practice Address - Fax:806-669-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health