| Stephen F Austin Community Health Center, Inc | |
|
6243 Fairmont Pkwy Ste 203&204 Pasadena TX 77505-4045 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Stephen F Austin Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6243 Fairmont Pkwy Ste 203&204, Pasadena, Texas |
| Authorized Official Name and Position | Brandy Smith (CREDENTIALING COORDINATOR II) |
| 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 1612 Callaway Dr Alvin TX 77511-3743 Ph: (281) 824-1480 | Stephen F Austin Community Health Center, Inc 6243 Fairmont Pkwy Ste 203&204 Pasadena TX 77505-4045 Ph: (281) 824-1480 |
| NPI Number | 1962189407 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962189407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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