MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI 1073703575

NPI Information

NPI: 1073703575
Provider Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM

Other Name: MEHOP ORAL HEALTH CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
205 IDA AVE
BAY CITY, TX
ZIP 77414
Phone: (979) 245-2008
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MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM is a federally qualified health center (fqhc) clinic center in Bay City, TX. MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI is 1073703575. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mehop Oral Health Clinic.

The provider's business location address is:

205 IDA AVE
BAY CITY, TX
ZIP 77414-167
Phone: (979) 245-2008
Fax: (979) 245-0242

The provider's authorized official is Manuela Luna .
The authorized official title is Billing/credentialing Manager and has the following contact phone number (979) 245-2008.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 4/24/2023.

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	1223D0001X	Dentist	Dental Public Health			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	671914	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	347977601	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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