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MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI 1861741779


NPI Information

NPI: 1861741779
Provider Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM

Doing Business As: MEHOP PRIMARY AND BEHAVIORAL HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1700 GOLDEN 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 1861741779. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mehop Primary And Behavioral Health.

The provider's business location address is:

1700 GOLDEN AVE
BAY CITY, TX
ZIP 77414-122
Phone: (979) 245-2008
Fax: (979) 245-0744

The provider's authorized official is Celeste N Harrison .
The authorized official title is Ceo and has the following contact phone number (979) 245-2008.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/13/2023.


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
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalNo
4152W00000XOptometristNo
5207Q00000XFamily MedicineNo
6208000000XPediatricsNo
7207V00000XObstetrics & GynecologyNo
82084P0800XPsychiatry & NeurologyPsychiatryNo
9261QF0400XClinic/CenterFederally 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
1348223401MEDICAIDTEXAS

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

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