| Mehop Oral Health Clinic | |
|
205 Ida Ave Bay City TX 77414-3167 | |
| (979) 245-2008 | |
| (979) 245-0242 |
| Full Name | Mehop Oral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Ida Ave, Bay City, Texas |
| Authorized Official Name and Position | Celeste Harrison (CEO) |
| Authorized Official Contact | 9792452008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehop Oral Health Clinic 101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 | Mehop Oral Health Clinic 205 Ida Ave Bay City TX 77414-3167 Ph: (979) 245-2008 |
| NPI Number | 1073703575 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 6002853538 |
|---|---|
| Medicare Enrollment ID | O20090720000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073703575 | NPI | - | NPPES |
| 347977601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 671914 (Texas) | Primary |
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