Coastal Bend Wellness Foundation Inc | |
720 E Lee Ave Kingsville TX 78363-4606 | |
(361) 290-7672 | |
(877) 928-8238 |
Full Name | Coastal Bend Wellness Foundation Inc |
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Speciality | Clinic/Center |
Location | 720 E Lee Ave, Kingsville, Texas |
Authorized Official Name and Position | Augustin Delagarza (COO) |
Authorized Official Contact | 3618142001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Bend Wellness Foundation Inc 2882 Holly Rd Corpus Christi TX 78415-4106 Ph: (361) 814-2001 | Coastal Bend Wellness Foundation Inc 720 E Lee Ave Kingsville TX 78363-4606 Ph: (361) 290-7672 |
NPI Number | 1346907607 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 11/22/2021 |
Medicare PECOS PAC ID | 9931422649 |
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Medicare Enrollment ID | O20231024002724 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346907607 | NPI | - | NPPES |
PENDING | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Humberto R. Bruschetta, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2511 E Corral Ave, Kingsville, TX 78363 Phone: 361-516-0097 Fax: 361-516-0182 | |
Community Action Corporation Of South Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 N Retama St, Kingsville, TX 78363 Phone: 361-239-0600 Fax: 877-550-1895 | |
Paraclete Primary Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Kleberg Ave, Kingsville, TX 78363 Phone: 361-221-9345 Fax: 361-221-9338 | |