NPI:
1013196625
Provider Name:
PREVENTATIVE CARE HEALTH SERVICES, INC.
Doing Business As: PRESIDIO COUNTY HEALTH SERVICES, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 45D1031463
Address:
406 S SUMMER ST
MARFA, TX
ZIP 79843
Phone:
(432) 729-1800
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PREVENTATIVE CARE HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Marfa, TX. PREVENTATIVE CARE HEALTH SERVICES, INC. NPI is 1013196625. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presidio County Health Services, Inc..
The provider's business location address is:
406 S SUMMER ST
MARFA, TX
ZIP 79843
Phone: (432) 729-1800
Fax: (432) 729-1806
The provider's authorized official is Linda Molinar .
The authorized official title is Ceo and has the following contact phone number (432) 837-4812.
The CLIA number assigned to this NPI record is 45D1031463 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/31/2007 and was last updated on 12/8/2022.