LONE STAR CIRCLE OF CARE NPI 1750331963

NPI Information

NPI: 1750331963
Provider Name: LONE STAR CIRCLE OF CARE

Doing Business As: GEORGETOWN COMMUNITY CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
701 E UNIVERSITY AVE
GEORGETOWN, TX
ZIP 78626
Phone: (512) 863-8208
Get Directions

LONE STAR CIRCLE OF CARE is a federally qualified health center (fqhc) clinic center in Georgetown, TX. LONE STAR CIRCLE OF CARE NPI is 1750331963. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgetown Community Clinic.

The provider's business location address is:

701 E UNIVERSITY AVE
GEORGETOWN, TX
ZIP 78626-035
Phone: (512) 863-8208
Fax: (512) 864-7238

The provider's authorized official is Peter C Perialas .
The authorized official title is Ceo and has the following contact phone number (512) 868-1124.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/3/2011.

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	1560575-05	MEDICAID	TEXAS
2	451979	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	FQHC SITE PROVIDER NUMBER

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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