AMISTAD COMMUNITY HEALTH CENTER INCORPORATED NPI 1831720176

NPI Information

NPI: 1831720176
Provider Name: AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2181059

Address:
814 E MAIN AVE
ROBSTOWN, TX
ZIP 78380
Phone: (361) 884-2242
Get Directions

AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED is a federally qualified health center (fqhc) clinic center in Robstown, TX. AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED NPI is 1831720176. The provider is registered as an organization entity type.

The provider's business location address is:

814 E MAIN AVE
ROBSTOWN, TX
ZIP 78380-135
Phone: (361) 884-2242

The provider's authorized official is Carole Diane Devos .
The authorized official title is Contracting Adminstrator and has the following contact phone number (512) 280-7943.

The CLIA number assigned to this NPI record is 45D2181059 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2020 and was last updated on 1/27/2020.

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	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	PENDING	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

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