BRAZOS VALLEY COMMUNITY ACTION AGENCY INC. NPI 1194483511

NPI Information

NPI: 1194483511
Provider Name: BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.

Doing Business As: SBHC - CALDWELL ELEMENTARY SCHOOL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
611 W ALLIGATOR ST RM 109
CALDWELL, TX
ZIP 77836
Phone: (979) 567-2607
Get Directions

BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. is a federally qualified health center (fqhc) clinic center in Caldwell, TX. BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. NPI is 1194483511. The provider is registered as an organization entity type.
The provider Is Doing Business As Sbhc - Caldwell Elementary School.

The provider's business location address is:

611 W ALLIGATOR ST RM 109
CALDWELL, TX
ZIP 77836-501
Phone: (979) 567-2607
Fax: (979) 260-9390

The provider's authorized official is Theresa Sabella .
The authorized official title is Ceo and has the following contact phone number (979) 383-2340.

The enumeration date for this NPI number is 12/2/2021 and was last updated on 9/13/2022.

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

What is NPI?

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

NPI Synchronization or Removal

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