Legacy Community Health Services, Inc. | |
5620 W Tidwell Rd Houston TX 77091-4638 | |
(832) 548-5000 | |
Not Available |
Full Name | Legacy Community Health Services, Inc. |
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Speciality | Clinic/Center |
Location | 5620 W Tidwell Rd, Houston, 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 |
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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. 5620 W Tidwell Rd Houston TX 77091-4638 Ph: (832) 548-5000 |
NPI Number | 1245750108 |
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Provider Enumeration Date | 06/22/2017 |
Last Update Date | 10/04/2021 |
Medicare PECOS PAC ID | 7911969092 |
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Medicare Enrollment ID | O20180806002107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245750108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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