Mychn Lakejackson
LBN: Stephen F Austin Community Health Center,Inc
Mychn Lakejackson is an health care organization with primary practice located at 120 Flag Lake Dr Ste 2 , Lake Jackson TX 77566-6292. 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.
Stephen F Austin Community Health Center,Inc can be contacted via phone (281) 824-1480, or through Smith, Brandy via phone (281) 824-1480.
Contact Information
Primary practice address
120 Flag Lake Dr Ste 2
Lake Jackson TX 77566-6292
Phone: (281) 824-1480
Fax: (281) 220-6407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1144905415 |
---|---|
LBN Legal business name | Stephen F Austin Community Health Center,Inc |
DBA Doing business as | Mychn Lakejackson |
Authorized official | Smith, Brandy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 15th, 2023 |
Last updated | Mar 26th, 2024 - about 9 months 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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