| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5597675215 |
|---|---|
| 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 |
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