| Canyon Health Center | |
|
700 S Frio Camp Wood TX 78833-0455 | |
| (830) 597-6424 | |
| (830) 597-6427 |
| Full Name | Canyon Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 S Frio, Camp Wood, Texas |
| Authorized Official Name and Position | Mayela Castanon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8302785604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Health Center 908 S Evans St Uvalde TX 78801-6034 Ph: (830) 278-5604 | Canyon Health Center 700 S Frio Camp Wood TX 78833-0455 Ph: (830) 597-6424 |
| NPI Number | 1841316288 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 3072422740 |
|---|---|
| Medicare Enrollment ID | O20030210000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841316288 | NPI | - | NPPES |
| 111438104 | Medicaid | TX | |
| 00FM20 | Other | TX | MEDICARE TRAILBLAZER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | Z00FM205 (Texas) | Primary |