PRIME HEALTHCARE SERVICES PAMPA LLC
NPI 1558294314
Clinic/Center - Rural Health in Pampa, TX

Active since June 03, 2026
104 E 30TH AVE, PAMPA, TX 79065(806) 688-8800(806) 669-1491 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prime Healthcare Services Pampa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME HEALTHCARE SERVICES PAMPA LLC (NPI 1558294314), doing business as Pmg South Clinic, is a healthcare organization registered as a rural health in Pampa, Texas and active in the NPI registry since June 2026. The organization lists Christopher Doan, Managing Associate General Counsel, as its authorized official.

NPPES Registry Identity

NPI1558294314
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIME HEALTHCARE SERVICES PAMPA LLC
Location Address104 E 30TH AVEPampa, TX 79065-2822
Mailing Address104 E 30th AvePampa, TX 79065-2822 · (806) 688-8800 · Fax (806) 669-1491
Fax(806) 669-1491
Organization SubpartNo
Authorized OfficialChristopher DoanManaging Associate General Counsel · (310) 259-4706
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1558294314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
104 E 30TH AVE, Pampa, TX 79065

Other Names 1

Doing Business AsPmg South Clinic

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
104 E 30TH AVE
PAMPA, TX 79065
Internal Medicine
104 E 30TH AVE
PAMPA, TX 79065
Internal Medicine (Cardiovascular Disease)
104 E 30TH AVE
PAMPA, TX 79065
Nurse Practitioner (Family)
104 E 30TH AVE
PAMPA, TX 79065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558294314, enumerated as an "organization" on June 03, 2026.

The provider is located at 104 E 30TH AVE PAMPA, TX 79065 and the phone number is (806) 688-8800.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.