Bacliff Community Health Network | |
1136 Grand Ave Bacliff TX 77518-2760 | |
(281) 824-1480 | |
(281) 220-6407 |
Full Name | Bacliff Community Health Network |
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Speciality | Clinic/Center |
Location | 1136 Grand Ave, Bacliff, Texas |
Authorized Official Name and Position | Mark David Young (CEO) |
Authorized Official Contact | 2818241480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bacliff Community Health Network 1111 W Adoue St Alvin TX 77511-2718 Ph: (281) 824-1480 | Bacliff Community Health Network 1136 Grand Ave Bacliff TX 77518-2760 Ph: (281) 824-1480 |
NPI Number | 1962986562 |
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Provider Enumeration Date | 09/19/2018 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 6204977127 |
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Medicare Enrollment ID | O20190219001104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962986562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |