| Community Healthcare Center At Zundy | |
|
2412 Avenue H Wichita Falls TX 76309 | |
| (940) 766-6306 | |
| (940) 766-6504 |
| Full Name | Community Healthcare Center At Zundy |
|---|---|
| Speciality | Clinic/Center |
| Location | 2412 Avenue H, 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 Healthcare Center At Zundy 200 Mlk Jr Blvd Wichita Falls TX 76301-1152 Ph: (940) 766-6306 | Community Healthcare Center At Zundy 2412 Avenue H Wichita Falls TX 76309 Ph: (940) 766-6306 |
| NPI Number | 1568093037 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 04/06/2020 |
| Medicare PECOS PAC ID | 9931099215 |
|---|---|
| Medicare Enrollment ID | O20200225000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568093037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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