MT. ENTERPRISE COMMUNITY HEALTH CLINIC NPI 1043741275

NPI Information

  • NPI: 1043741275
  • Provider Name: MT. ENTERPRISE COMMUNITY HEALTH CLINIC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: CROSSROADS FAMILY CARE
  • Address: 4002 S LOOP 256 STE K
    PALESTINE, TX
    ZIP 75801
  • Phone: (903) 729-3015

Map and Directions

Get Directions

NPI Details

MT. ENTERPRISE COMMUNITY HEALTH CLINIC is a federally qualified health center (fqhc) clinic center in Palestine, TX. MT. ENTERPRISE COMMUNITY HEALTH CLINIC NPI is 1043741275. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Family Care.

The provider's business location address is:

4002 S LOOP 256 STE K
PALESTINE, TX
ZIP 75801-402
Phone: (903) 729-3015
Fax: (903) 729-2738

The provider's authorized official is Kenneth A White .
The authorized official title is Ceo and has the following contact phone number (903) 822-3076.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 10/14/2021.

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)TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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.