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LEGACY COMMUNITY HEALTH SERVICES INC NPI 1194019992


NPI Information

NPI: 1194019992
Provider Name: LEGACY COMMUNITY HEALTH SERVICES, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1415 CALIFORNIA ST
HOUSTON, TX
ZIP 77006
Phone: (832) 548-5000
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LEGACY COMMUNITY HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Houston, TX. LEGACY COMMUNITY HEALTH SERVICES, INC NPI is 1194019992. The provider is registered as an organization entity type.

The provider's business location address is:

1415 CALIFORNIA ST
HOUSTON, TX
ZIP 77006-602
Phone: (832) 548-5000

The provider's authorized official is Katherine Caldwell .
The authorized official title is Executive Director and has the following contact phone number (832) 548-5051.

The enumeration date for this NPI number is 6/9/2011 and was last updated on 3/24/2014.


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
1261QF0400XClinic/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
1080462703MEDICAIDTEXAS
2671835MEDICARE OSCAR/CERTIFICATIONTEXAS
3671849MEDICARE OSCAR/CERTIFICATIONTEXAS
4741825MEDICARE OSCAR/CERTIFICATIONTEXAS
5741809MEDICARE OSCAR/CERTIFICATIONTEXAS
6671985MEDICARE OSCAR/CERTIFICATIONTEXAS
7671836MEDICARE OSCAR/CERTIFICATIONTEXAS
8741819MEDICARE OSCAR/CERTIFICATIONTEXAS

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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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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