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BRAZOS VALLEY COMMUNITY ACTION AGENCY INC. NPI 1184192064


NPI Information

NPI: 1184192064
Provider Name: BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.

Doing Business As: HEALTHPOINT - CREEKSIDE DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1615 BARAK LN STE 6
BRYAN, TX
ZIP 77802
Phone: (979) 846-2500
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BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. is a federally qualified health center (fqhc) clinic center in Bryan, TX. BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. NPI is 1184192064. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthpoint - Creekside Dental.

The provider's business location address is:

1615 BARAK LN STE 6
BRYAN, TX
ZIP 77802-301
Phone: (979) 846-2500
Fax: (979) 260-9390

The provider's authorized official is Theresa Sabella .
The authorized official title is Ceo and has the following contact phone number (979) 383-2340.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 2/10/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

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