LEGACY COMMUNITY HEALTH SERVICES INC NPI 1659943884

NPI Information

NPI: 1659943884
Provider Name: LEGACY COMMUNITY HEALTH SERVICES, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2229700

Address:
400 KEENE ST
GALENA PARK, TX
ZIP 77547
Phone: (832) 548-5000
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LEGACY COMMUNITY HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Galena Park, TX. LEGACY COMMUNITY HEALTH SERVICES, INC NPI is 1659943884. The provider is registered as an organization entity type.

The provider's business location address is:

400 KEENE ST
GALENA PARK, TX
ZIP 77547-200
Phone: (832) 548-5000

The provider's authorized official is Robert L Hilliard .
The authorized official title is Ceo and has the following contact phone number (832) 548-5277.

The CLIA number assigned to this NPI record is 45D2229700 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2021 and was last updated on 10/4/2021.

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	261QF0400X	Clinic/Center	Federally 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: 11/14/2023

NPI Synchronization or Removal

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