Legacy Community Health Services, Inc. | |
450 N 11th St Beaumont TX 77702-1804 | |
(832) 548-5000 | |
Not Available |
Full Name | Legacy Community Health Services, Inc. |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 450 N 11th St, Beaumont, Texas |
Authorized Official Name and Position | Katherine Caldwell (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8325485000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Community Health Services, Inc. Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5000 | Legacy Community Health Services, Inc. 450 N 11th St Beaumont TX 77702-1804 Ph: (832) 548-5000 |
NPI Number | 1154796829 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 01/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154796829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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