| Central Care Community Health Center - Riverside | |
|
3315 Delano Street Houston TX 77004-3284 | |
| (713) 831-9663 | |
| (713) 831-9660 |
| Full Name | Central Care Community Health Center - Riverside |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3315 Delano Street, Houston, Texas |
| Authorized Official Name and Position | Marcus A Roland (PRESIDENT/CEO) |
| Authorized Official Contact | 7137344580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Care Community Health Center - Riverside P.o. Box 300345 Houston TX 77230-0345 Ph: (713) 734-4580 | Central Care Community Health Center - Riverside 3315 Delano Street Houston TX 77004-3284 Ph: (713) 831-9663 |
| NPI Number | 1821177866 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821177866 | NPI | - | NPPES |
| 111687304 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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