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 1533 S. Brownlee Blvd. Ste. 100, Corpus Christi TX 78404-3131. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Amistad Community Health Center, Incorporated can be contacted via phone (361) 884-2242, or through Flores, Joe via phone (361) 884-2242.
Contact Information
Primary practice address
1533 S. Brownlee Blvd. Ste. 100
Corpus Christi TX 78404-3131
Phone: (361) 884-2242
Fax: (361) 884-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1386770147 |
|---|---|
| LBN Legal business name | Amistad Community Health Center, Incorporated |
| DBA Doing business as | |
| Authorized official | Flores, Joe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Aug 18th, 2014 - about 11 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 | 1386770147 | NPPES |
| Texas | MEDICAID | 191099401 | |
| Texas | Other | 215071601 |
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