FRONTERA HEALTHCARE NETWORK NPI 1841739679

NPI Information

NPI: 1841739679
Provider Name: FRONTERA HEALTHCARE NETWORK

Doing Business As: FRONTERA HEALTHCARE NETWORK - BRADY DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1211 S BRIDGE ST
BRADY, TX
ZIP 76825
Phone: (325) 597-0464
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FRONTERA HEALTHCARE NETWORK is a federally qualified health center (fqhc) clinic center in Brady, TX. FRONTERA HEALTHCARE NETWORK NPI is 1841739679. The provider is registered as an organization entity type.
The provider Is Doing Business As Frontera Healthcare Network - Brady Dental.

The provider's business location address is:

1211 S BRIDGE ST
BRADY, TX
ZIP 76825-229
Phone: (325) 597-0464

The provider's authorized official is Mikki Hand .
The authorized official title is Executive Director and has the following contact phone number (325) 869-5500.

The CLIA number assigned to this NPI record is 45D2105044 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/28/2023.

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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