Cactus Health Services Inc

LBN: Cactus Health Services Inc
Cactus Health Services Inc is an health care organization with primary practice located at 700 N Main St , Fort Stockton TX 79735-5626. 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. Cactus Health Services Inc can be contacted via phone (432) 336-8110, or through Villarreal, Luis via phone (432) 336-8110.

Contact Information

Primary practice address
700 N Main St Fort Stockton TX 79735-5626
Phone: (432) 336-8110
Fax: (432) 336-8107
Website:
Map and Directions
Authorized official contact:
Name: Villarreal, Luis
Phone: (432) 336-8110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1962663740
LBN Legal business name Cactus Health Services Inc
DBA Doing business as
Authorized official Villarreal, Luis
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 24th, 2008
Last updated Feb 26th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962663740 NPPES
Texas MEDICAID 176514101

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