COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC NPI 1396904686

NPI Information

COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC is a federally qualified health center (fqhc) clinic center in Luling, TX. COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC NPI is 1396904686. The provider is registered as an organization entity type.
The provider Is Doing Business As Luling Community Health Center.

The provider's business location address is:

111 S. LAUREL AVENUE
LULING, TX
ZIP 78648-624
Phone: (830) 875-6399
Fax: (830) 875-6398

The provider's authorized official is Rafael De La Paz .
The authorized official title is Ceo and has the following contact phone number (830) 672-6511.

The CLIA number assigned to this NPI record is 45D0975485 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2008 and was last updated on 9/3/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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