| Stephen F Austin Community Health Center,inc | |
|
500 College Dr Rm B112 Lake Jackson TX 77566-3136 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Stephen F Austin Community Health Center,inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 500 College Dr Rm B112, Lake Jackson, Texas |
| Authorized Official Name and Position | Brandy Smith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2818241480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen F Austin Community Health Center,inc 1111 W Adoue St Alvin TX 77511-2718 Ph: (281) 824-1480 | Stephen F Austin Community Health Center,inc 500 College Dr Rm B112 Lake Jackson TX 77566-3136 Ph: (281) 824-1480 |
| NPI Number | 1528693082 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528693082 | 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 |
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