MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI 1467009092

NPI Information

NPI: 1467009092
Provider Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2163329

Address:
307 GREEN AVE STE A
PALACIOS, TX
ZIP 77465
Phone: (979) 245-2008
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MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM is a federally qualified health center (fqhc) clinic center in Palacios, TX. MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI is 1467009092. The provider is registered as an organization entity type.

The provider's business location address is:

307 GREEN AVE STE A
PALACIOS, TX
ZIP 77465-213
Phone: (979) 245-2008

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 CLIA number assigned to this NPI record is 45D2163329 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2019 and was last updated on 4/28/2023.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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