Community Health Clinics Of Northeast Texas in Tyler - Federally Qualified Health Center (fqhc)
Community Health Clinics Of Northeast Texas - NPI 1275713976
Community Health Clinics Of Northeast Texas is a Federally Qualified Health Center (fqhc) in Tyler, Texas. Community Health Clinics Of Northeast Texas practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Clinics Of Northeast Texas is 1275713976. The last update date is 2010-06-21.
Community Health Clinics Of Northeast Texas's current location address is 928 N Glenwood Blvd, Tyler, Texas. You can contact this provider via phone number 9035337400 and fax number 9035337409. The mailing address for Community Health Clinics Of Northeast Texas is 928 N Glenwood Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Clinics Of Northeast Texas |
|---|---|
| Address | 928 N Glenwood Blvd, Tyler, Texas |
| Phone Number | 9035337400 |
| Fax Number | 9035337409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Wilder F Bryan |
| Telephone Number | 9035337400 |
NPI Number Detail
| NPI Number | 1275713976 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2010-06-21 |
Provider Mailing Address Detail
| Address | 928 N Glenwood Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757025055 |
| Phone Number | 9035337400 |
| Fax Number | 9035337409 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1383606-17 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Health Clinics Of Northeast Texas by the Centers for Medicare & Medicaid Services (CMS)?
The Community Health Clinics Of Northeast Texas has been assigned the NPI (National Provider Identifier) 1275713976. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Community Health Clinics Of Northeast Texas is located?
The Community Health Clinics Of Northeast Texas is situated at the following address: 928 N Glenwood Blvd, Tyler, TX, 757025055.
What is the Community Health Clinics Of Northeast Texas's area of specialization and corresponding taxonomy classification?
The Community Health Clinics Of Northeast Texas's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
When did Community Health Clinics Of Northeast Texas receive its 1275713976 assignment?
The Community Health Clinics Of Northeast Texas was assigned its 1275713976 on 2007-11-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Community Health Clinics Of Northeast Texas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Community Health Clinics Of Northeast Texas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-21.