Community Health Service Agency Inc

LBN: Community Health Service Agency Inc
Community Health Service Agency Inc is an health care organization with primary practice located at 4500 Wesley St , Greenville TX 75401-5644. 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 Service Agency Inc can be contacted via phone (903) 454-3025, or through Carter, Michelle via phone (903) 455-5986.

Contact Information

Primary practice address
4500 Wesley St Greenville TX 75401-5644
Phone: (903) 454-3025
Fax: (903) 450-1408
Website:
Map and Directions
Authorized official contact:
Name: Carter, Michelle
Phone: (903) 455-5986

Health care specialties

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

Profile Details

NPI number 1922486505
LBN Legal business name Community Health Service Agency Inc
DBA Doing business as
Authorized official Carter, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2015
Last updated May 14th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922486505 NPPES
Texas Other 00CN31 MEDICARE/NOVITAS
Texas MEDICAID 081921102 MEDICARE/NOVITAS

Popular Providers