CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NPI 1417032343

NPI Information

NPI: 1417032343
Provider Name: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1

Doing Business As: BAYSIDE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
621 S ROSS STERLING
ANAHUAC, TX
ZIP 77514
Phone: (409) 267-4126
Get Directions

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1 is a federally qualified health center (fqhc) clinic center in Anahuac, TX. CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1 NPI is 1417032343. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayside Clinic.

The provider's business location address is:

621 S ROSS STERLING
ANAHUAC, TX
ZIP 77514
Phone: (409) 267-4126
Fax: (409) 267-4120

The provider's authorized official is Robert Pascasio .
The authorized official title is Ceo and has the following contact phone number (409) 267-3143.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0002556037	OTHER	TEXAS	AETNA HMO
2	0005356055	OTHER	TEXAS	AETNA NON HMO
3	127254402	MEDICAID	TEXAS
4	127254406	MEDICAID	TEXAS
5	00R17Z	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
6	127254404	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »