| Chambers Health School Base Health Center Dayton | |
|
101 S Prairie St Dayton TX 77535-2819 | |
| (409) 267-3143 | |
| Not Available |
| Full Name | Chambers Health School Base Health Center Dayton |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 S Prairie St, Dayton, Texas |
| Authorized Official Name and Position | Robert Pascasio (CEO) |
| Authorized Official Contact | 4092673143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chambers Health School Base Health Center Dayton Po Box 398 Anahuac TX 77514-0398 Ph: (409) 267-3143 | Chambers Health School Base Health Center Dayton 101 S Prairie St Dayton TX 77535-2819 Ph: (409) 267-3143 |
| NPI Number | 1336738095 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 0244225670 |
|---|---|
| Medicare Enrollment ID | O20211109002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336738095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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