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MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM NPI 1003193848


NPI Information

NPI: 1003193848
Provider Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM

Doing Business As: MEHOP WOMEN AND CHILDREN CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D1079937

Address:
111 AVENUE F
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 1003193848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mehop Women And Children Center.

The provider's business location address is:

111 AVENUE F
BAY CITY, TX
ZIP 77414-117
Phone: (979) 245-2008
Fax: (979) 245-2205

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 45D1079937 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2011 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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/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
1350361701MEDICAIDTEXAS

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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