| Bastrop Isd Health Center | |
|
1602 Hill St Bastrop TX 78602-2525 | |
| (830) 672-6511 | |
| (830) 672-6430 |
| Full Name | Bastrop Isd Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1602 Hill St, Bastrop, Texas |
| Authorized Official Name and Position | Rafael De La Paz (CEO) |
| Authorized Official Contact | 8306726511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Isd Health Center Po Box 1890 Gonzales TX 78629-1390 Ph: (830) 672-6511 | Bastrop Isd Health Center 1602 Hill St Bastrop TX 78602-2525 Ph: (830) 672-6511 |
| NPI Number | 1407406333 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/03/2020 |
| Medicare PECOS PAC ID | 4688650328 |
|---|---|
| Medicare Enrollment ID | O20191007002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407406333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Lone Star Circle Of Care At Bastrop Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 | |
Bastrop County Medical & Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Highway 71 W, Bastrop, TX 78602 Phone: 512-321-9091 | |
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