| Lavaca Family Health Clinic | |
|
1406 N Texana St Hallettsville TX 77964-2009 | |
| (361) 798-1200 | |
| (361) 798-3128 |
| Full Name | Lavaca Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1406 N Texana St, Hallettsville, Texas |
| Authorized Official Name and Position | Jack S Bowen (ADMINISTRATOR) |
| Authorized Official Contact | 3617983671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavaca Family Health Clinic 1406 N Texana St Hallettsville TX 77964-2009 Ph: (361) 798-1200 | Lavaca Family Health Clinic 1406 N Texana St Hallettsville TX 77964-2009 Ph: (361) 798-1200 |
| NPI Number | 1871555409 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 10/20/2020 |
| Medicare PECOS PAC ID | 1153211750 |
|---|---|
| Medicare Enrollment ID | O20050428000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871555409 | NPI | - | NPPES |
| 126884905 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hwc-providers, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 N Texana St Ste A, Hallettsville, TX 77964 Phone: 361-217-3291 Fax: 361-217-3297 | |
Lavaca Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 N Texana St, Hallettsville, TX 77964 Phone: 361-798-1200 Fax: 361-798-3121 |