| Legacy Community Health Services, Inc | |
|
400 Keene St Galena Park TX 77547-3200 | |
| (832) 548-5000 | |
| Not Available |
| Full Name | Legacy Community Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Keene St, Galena Park, Texas |
| Authorized Official Name and Position | Robert L Hilliard (CEO) |
| Authorized Official Contact | 8325485277 |
| 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 400 Keene St Galena Park TX 77547-3200 Ph: (832) 548-5000 |
| NPI Number | 1659943884 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 7911969092 |
|---|---|
| Medicare Enrollment ID | O20220308002822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659943884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
General Care Health Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2124 Clinton Dr, Galena Park, TX 77547 Phone: 346-613-5570 |