| Brazos Valley Community Action Agency, Inc. | |
|
404 E 22nd St Rm N1-n2 Cameron TX 76520-1305 | |
| (979) 977-6980 | |
| (979) 731-4570 |
| Full Name | Brazos Valley Community Action Agency, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 E 22nd St Rm N1-n2, Cameron, Texas |
| Authorized Official Name and Position | Theresa Sabella (CEO) |
| Authorized Official Contact | 9793832340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Valley Community Action Agency, Inc. 1500 University Dr E Ste 100 College Station TX 77840-2600 Ph: (979) 383-2340 | Brazos Valley Community Action Agency, Inc. 404 E 22nd St Rm N1-n2 Cameron TX 76520-1305 Ph: (979) 977-6980 |
| NPI Number | 1396427035 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 4284542127 |
|---|---|
| Medicare Enrollment ID | O20240531003351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396427035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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