| Legacy Community Health Services, Inc | |
|
3030 North St Ste 500 Beaumont TX 77702-1424 | |
| (832) 548-5000 | |
| (409) 333-1443 |
| Full Name | Legacy Community Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3030 North St Ste 500, Beaumont, Texas |
| Authorized Official Name and Position | Robert Hilliard (CEO) |
| Authorized Official Contact | 7134464854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Community Health Services, Inc Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5000 | Legacy Community Health Services, Inc 3030 North St Ste 500 Beaumont TX 77702-1424 Ph: (832) 548-5000 |
| NPI Number | 1811608896 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 7911969092 |
|---|---|
| Medicare Enrollment ID | O20230419003128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811608896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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