| Concho Valley Center For Human Advancement | |
|
424 S Oakes St San Angelo TX 76903-5944 | |
| (325) 658-7750 | |
| Not Available |
| Full Name | Concho Valley Center For Human Advancement |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 424 S Oakes St, San Angelo, Texas |
| Authorized Official Name and Position | Alton Todd Baird (IT DIRECTOR/CREDENTIALING SPECIALIS) |
| Authorized Official Contact | 3256587750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concho Valley Center For Human Advancement 1501 W Beauregard Ave San Angelo TX 76901-4004 Ph: (325) 658-7750 | Concho Valley Center For Human Advancement 424 S Oakes St San Angelo TX 76903-5944 Ph: (325) 658-7750 |
| NPI Number | 1184764185 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/04/2026 |
| Certification Date | 05/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184764185 | NPI | - | NPPES |
| 109483102 | Medicaid | TX | |
| 127323701 | Medicaid | TX | |
| 127323702 | Medicaid | TX | |
| 127323704 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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