Total Healthcare Center
LBN: Community Health Clinics Of Northeast Texas
Total Healthcare Center is an health care organization with primary practice located at 928 N Glenwood Blvd , Tyler TX 75702-5055. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Clinics Of Northeast Texas can be contacted via phone (903) 526-4900, or through Wilder, Bryan F via phone (903) 533-7400.
Contact Information
Primary practice address
928 N Glenwood Blvd
Tyler TX 75702-5055
Phone: (903) 526-4900
Fax: (903) 526-4907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1275713976 |
|---|---|
| LBN Legal business name | Community Health Clinics Of Northeast Texas |
| DBA Doing business as | Total Healthcare Center |
| Authorized official | Wilder, Bryan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Jun 21st, 2010 - about 15 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 | 1275713976 | NPPES |
| Texas | MEDICAID | 1383606-17 |
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