| Midland Community Healthcare Services | |
|
400 Rosalind Redfern Grover Pkwy 3rd Floor Midland TX 79701-5846 | |
| (432) 681-3100 | |
| (432) 681-3108 |
| Full Name | Midland Community Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Rosalind Redfern Grover Pkwy, Midland, Texas |
| Authorized Official Name and Position | Michael Austin (CEO) |
| Authorized Official Contact | 4325700238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Community Healthcare Services Po Box 5576 Midland TX 79704-5576 Ph: (432) 570-0238 | Midland Community Healthcare Services 400 Rosalind Redfern Grover Pkwy 3rd Floor Midland TX 79701-5846 Ph: (432) 681-3100 |
| NPI Number | 1013016906 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 0345230975 |
|---|---|
| Medicare Enrollment ID | O20050404000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013016906 | NPI | - | NPPES |
| 0090KV | Other | TX | BLUE CROSS BLUE SHEILD |
| 165581307 | Medicaid | TX | |
| 165581305 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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