| Community Action School Base Health Center | |
|
502 E. San Patricio Mathis TX 78368-2266 | |
| (361) 547-4121 | |
| Not Available |
| Full Name | Community Action School Base Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 E. San Patricio, Mathis, Texas |
| Authorized Official Name and Position | Ann Awalt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3616640145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Action School Base Health Center 204 E 1st St Alice TX 78332-4822 Ph: (361) 664-0145 | Community Action School Base Health Center 502 E. San Patricio Mathis TX 78368-2266 Ph: (361) 547-4121 |
| NPI Number | 1396182739 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/16/2014 |
| Medicare PECOS PAC ID | 9032003504 |
|---|---|
| Medicare Enrollment ID | O20080318000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396182739 | NPI | - | NPPES |
| 190685101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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