Special Health Resources For Texas, Incorporated

LBN: Special Health Resources For Texas, Incorporated
Special Health Resources For Texas, Incorporated is an health care organization with primary practice located at 410 N 4Th St , Longview TX 75601-6511. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Special Health Resources For Texas, Incorporated can be contacted via phone (903) 234-0776, or through Whitehead, Shaun'Ta via phone (903) 234-0776.

Contact Information

Primary practice address
410 N 4Th St Longview TX 75601-6511
Phone: (903) 234-0776
Fax: (903) 234-9769
Website:
Map and Directions
Authorized official contact:
Name: Whitehead, Shaun'Ta
Phone: (903) 234-0776

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Texas

Profile Details

NPI number 1043209919
LBN Legal business name Special Health Resources For Texas, Incorporated
DBA Doing business as
Authorized official Whitehead, Shaun'Ta
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 22nd, 2023 - about 2 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 1043209919 NPPES
Texas MEDICAID 0848160-01

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