| Matagorda Episcopal Health Outreach Program | |
|
205 Ida Ave Bay City TX 77414-3167 | |
| (979) 245-2008 | |
| (979) 245-0242 |
| Full Name | Matagorda Episcopal Health Outreach Program |
|---|---|
| Speciality | Dentist |
| Location | 205 Ida Ave, Bay City, Texas |
| Authorized Official Name and Position | Celeste Harrison (CEO) |
| Authorized Official Contact | 9792452008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matagorda Episcopal Health Outreach Program 101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 | Matagorda Episcopal Health Outreach Program 205 Ida Ave Bay City TX 77414-3167 Ph: (979) 245-2008 |
| NPI Number | 1073703575 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 01/16/2025 |
| Medicare PECOS PAC ID | 6002853538 |
|---|---|
| Medicare Enrollment ID | O20090720000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073703575 | NPI | - | NPPES |
| 347977601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 671914 (Texas) | Secondary |
Bayside Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 7th St Ste A, Bay City, TX 77414 Phone: 832-605-0349 | |
Jeb Stuart James Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Avenue I, Bay City, TX 77414 Phone: 979-245-1654 Fax: 979-244-5116 | |
Dennard & Humphries Dds, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2711 4th St, Bay City, TX 77414 Phone: 979-245-6111 Fax: 979-245-0118 | |
Bay City Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2521 Avenue H, Bay City, TX 77414 Phone: 979-245-2104 | |
Zelda Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Merlin St, Bay City, TX 77414 Phone: 979-245-7872 | |
Pdb Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 7th St Ste 800, Bay City, TX 77414 Phone: 979-245-2277 Fax: 979-245-2287 |