COMMUNITY HEALTH CLINIC NPI 1063407922

NPI Information

NPI: 1063407922
Provider Name: COMMUNITY HEALTH CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
160 RIVER NORTH BLVD
STEPHENVILLE, TX
ZIP 76401
Phone: (254) 968-6051
Get Directions

COMMUNITY HEALTH CLINIC is a family medicine in Stephenville, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY HEALTH CLINIC NPI is 1063407922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 RIVER NORTH BLVD
STEPHENVILLE, TX
ZIP 76401-803
Phone: (254) 968-6051
Fax: (254) 968-4950

The provider's authorized official is Lisa Cathey .
The authorized official title is Reimbursements/contracts and has the following contact phone number (254) 968-6051.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 10/6/2022.

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
1	208000000X	Pediatrics		L2522	TEXAS	No
2	208000000X	Pediatrics		K6312	TEXAS	No
3	363LF0000X	Nurse Practitioner	Family	251622	TEXAS	No
4	363LW0102X	Nurse Practitioner	Women's Health	456297	TEXAS	No
5	207Q00000X	Family Medicine		E9244	TEXAS	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
1	017584601	OTHER	TEXAS	MEDICAID TX HEALTH STEPS
2	135101706	MEDICAID	TEXAS
3	135101703	OTHER	TEXAS	MEDICAID CHILDREN SPECIAL
4	0072CP	OTHER	TEXAS	GROUP TX PROV NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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