ATASCOSA HEALTH CENTER INC. NPI 1336491083

NPI Information

ATASCOSA HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Three Rivers, TX. ATASCOSA HEALTH CENTER, INC. NPI is 1336491083. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Oak Community Health Center.

The provider's business location address is:

105 E. THORNTON
THREE RIVERS, TX
ZIP 78071
Phone: (361) 786-3618
Fax: (361) 786-3649

The provider's authorized official is Monty Small .
The authorized official title is Ceo and has the following contact phone number (830) 569-8940.

The CLIA number assigned to this NPI record is 45D2049604 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 9/4/2020.

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:

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