| Wise County Community Health Center | |
|
2000 S Fm 51 Suite D Decatur TX 76234-3702 | |
| (940) 393-0100 | |
| (940) 393-0199 |
| Full Name | Wise County Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2000 S Fm 51, Decatur, Texas |
| Authorized Official Name and Position | Arcadio Viveros (CEO) |
| Authorized Official Contact | 8173780855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise County Community Health Center 2100 N Main St Suite 107 Fort Worth TX 76164-8570 Ph: (817) 378-0855 | Wise County Community Health Center 2000 S Fm 51 Suite D Decatur TX 76234-3702 Ph: (940) 393-0100 |
| NPI Number | 1417215989 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417215989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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