Gulf Coast Health Center Inc | |
103 East Gibson Suite 110 &112 Jasper TX 75951 | |
(409) 379-8338 | |
(409) 983-4933 |
Full Name | Gulf Coast Health Center Inc |
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Speciality | Clinic/Center |
Location | 103 East Gibson, Jasper, Texas |
Authorized Official Name and Position | Marsha E Thigpen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4099831161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gulf Coast Health Center Inc 2548 Memorial Blvd Port Arthur TX 77640-2825 Ph: (409) 983-1161 | Gulf Coast Health Center Inc 103 East Gibson Suite 110 &112 Jasper TX 75951 Ph: (409) 379-8338 |
NPI Number | 1639176324 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5597675215 |
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Medicare Enrollment ID | O20030508000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639176324 | NPI | - | NPPES |
126826006 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |