| Community Health Care Center-juarez | |
|
1000 Juarez St Bldg A Wichita Falls TX 76301-6905 | |
| (940) 766-6306 | |
| (940) 761-3038 |
| Full Name | Community Health Care Center-juarez |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Juarez St Bldg A, Wichita Falls, Texas |
| Authorized Official Name and Position | Allen Patterson, Chief Executive Officer (CEO) |
| Authorized Official Contact | 9407666306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care Center-juarez 200 Martin Luther King Blvd Wichita Falls TX 76301-1152 Ph: (940) 766-6306 | Community Health Care Center-juarez 1000 Juarez St Bldg A Wichita Falls TX 76301-6905 Ph: (940) 766-6306 |
| NPI Number | 1295064194 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 07/26/2021 |
| Medicare PECOS PAC ID | 9931099215 |
|---|---|
| Medicare Enrollment ID | O20100602000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295064194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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