COMMUNITY HEALTH DEVELOPMENT INC NPI 1841316288

NPI Information

NPI: 1841316288
Provider Name: COMMUNITY HEALTH DEVELOPMENT, INC

Doing Business As: CANYON HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
700 S FRIO
CAMP WOOD, TX
ZIP 78833
Phone: (830) 597-6424
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COMMUNITY HEALTH DEVELOPMENT, INC is a federally qualified health center (fqhc) clinic center in Camp Wood, TX. COMMUNITY HEALTH DEVELOPMENT, INC NPI is 1841316288. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Health Center.

The provider's business location address is:

700 S FRIO
CAMP WOOD, TX
ZIP 78833-455
Phone: (830) 597-6424
Fax: (830) 597-6427

The provider's authorized official is Mayela Castanon .
The authorized official title is Chief Executive Officer and has the following contact phone number (830) 278-5604.

The CLIA number assigned to this NPI record is 45D0506286 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2007 and was last updated on 3/26/2024.

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)	Z00FM205	TEXAS	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	111438104	MEDICAID	TEXAS
2	00FM20	OTHER	TEXAS	MEDICARE TRAILBLAZER

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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