| Matagorda Episcopal Health Outreach Program | |
|
307 Green Ave Ste A Palacios TX 77465-3213 | |
| (979) 245-2008 | |
| Not Available |
| Full Name | Matagorda Episcopal Health Outreach Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Green Ave Ste A, Palacios, Texas |
| Authorized Official Name and Position | Manuela Luna (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 9792452008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matagorda Episcopal Health Outreach Program 101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 | Matagorda Episcopal Health Outreach Program 307 Green Ave Ste A Palacios TX 77465-3213 Ph: (979) 245-2008 |
| NPI Number | 1467009092 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 6002853538 |
|---|---|
| Medicare Enrollment ID | O20191031000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467009092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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