Amistad Community Health Center, Incorporated
LBN: Amistad Community Health Center, Incorporated
Amistad Community Health Center, Incorporated is an health care organization with primary practice located at 1711 W Wheeler Ave Ste 1 , Aransas Pass TX 78336-4536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Amistad Community Health Center, Incorporated can be contacted via phone (361) 886-3025, or through Devos, Carole Diane via phone (512) 692-4010.
Contact Information
Primary practice address
1711 W Wheeler Ave Ste 1
Aransas Pass TX 78336-4536
Phone: (361) 886-3025
Fax: (361) 884-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1245995521 |
|---|---|
| LBN Legal business name | Amistad Community Health Center, Incorporated |
| DBA Doing business as | |
| Authorized official | Devos, Carole Diane MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2021 |
| Last updated | Nov 2nd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245995521 | NPPES |
| Texas | MEDICAID | PENDING |
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