St. Paul'S Mobile Clinic

LBN: Community Health Clinic Of Northeast Texas
St. Paul'S Mobile Clinic is an health care organization with primary practice located at 928 N Glenwood Blvd , Tyler TX 75702-5055. 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. Community Health Clinic Of Northeast Texas can be contacted via phone (903) 533-7400, or through Davis, Judy via phone (903) 533-7404.

Contact Information

Primary practice address
928 N Glenwood Blvd Tyler TX 75702-5055
Phone: (903) 533-7400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Judy MBA,MHA
Phone: (903) 533-7404

Health care specialties

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

Profile Details

NPI number 1265613285
LBN Legal business name Community Health Clinic Of Northeast Texas
DBA Doing business as St. Paul'S Mobile Clinic
Authorized official Davis, Judy MBA,MHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 18 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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