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COMMUNITY HEALTH SERVICE AGENCY INC. NPI 1073597076


NPI Information

NPI: 1073597076
Provider Name: COMMUNITY HEALTH SERVICE AGENCY, INC.

Doing Business As: LADONIA MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
8TH EAST PLAZA
LADONIA, TX
ZIP 75449
Phone: (903) 367-7213
Get Directions

COMMUNITY HEALTH SERVICE AGENCY, INC. is a federally qualified health center (fqhc) clinic center in Ladonia, TX. COMMUNITY HEALTH SERVICE AGENCY, INC. NPI is 1073597076. The provider is registered as an organization entity type.
The provider Is Doing Business As Ladonia Medical Center.

The provider's business location address is:

8TH EAST PLAZA
LADONIA, TX
ZIP 75449
Phone: (903) 367-7213
Fax: (903) 367-7215

The provider's authorized official is Dan Shepherd .
The authorized official title is Ceo and has the following contact phone number (903) 455-5986.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 11/22/2010.


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
1451823MEDICARE OSCAR/CERTIFICATIONTEXAS
200CN31MEDICARE PINTEXAS
3019036501MEDICAIDTEXAS

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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