Mt. Enterprise Community Health Clinic in Mt Enterprise - Federally Qualified Health Center (fqhc)
Mt. Enterprise Community Health Clinic - NPI 1952342149
Mt. Enterprise Community Health Clinic is a Federally Qualified Health Center (fqhc) in Mt Enterprise, Texas. Mt. Enterprise Community Health Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mt. Enterprise Community Health Clinic is 1952342149. The last update date is 2021-10-14.
Mt. Enterprise Community Health Clinic's current location address is Po Box 489, Mt Enterprise, Texas. You can contact this provider via phone number 9038223076 and fax number 9038223079. The mailing address for Mt. Enterprise Community Health Clinic is Po Box 489, Mt Enterprise, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mt. Enterprise Community Health Clinic |
|---|---|
| Address | Po Box 489, Mt Enterprise, Texas |
| Phone Number | 9038223076 |
| Fax Number | 9038223079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White A Kenneth |
| Telephone Number | 9038223076 |
NPI Number Detail
| NPI Number | 1952342149 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | Po Box 489 |
|---|---|
| City | Mt Enterprise |
| State | Texas (TX) |
| Post Code | 756810489 |
| Phone Number | 9038223076 |
| Fax Number | 9038223079 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Mt. Enterprise Community Health Clinic's unique identification number?
The Mt. Enterprise Community Health Clinic has been assigned the NPI (National Provider Identifier) Number 1952342149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mt. Enterprise Community Health Clinic's physical address?
The Mt. Enterprise Community Health Clinic is physically located at Po Box 489, in the city of Mt Enterprise, TX, with the postal code 756810489.
What is Mt. Enterprise Community Health Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mt. Enterprise Community Health Clinic's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952342149 to Mt. Enterprise Community Health Clinic?
The Mt. Enterprise Community Health Clinic received its 1952342149 assignment from the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the details related to Mt. Enterprise Community Health Clinic most recently updated or revised?
The information pertaining to Mt. Enterprise Community Health Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-14.