| Community Action Corporation Of South Texas | |
|
301 S Hillside Dr Ste 5615 Beeville TX 78102-5307 | |
| (361) 362-0307 | |
| Not Available |
| Full Name | Community Action Corporation Of South Texas |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 S Hillside Dr Ste 5615, Beeville, Texas |
| Authorized Official Name and Position | Ann Awalt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3616640145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Action Corporation Of South Texas 204 E 1st St Alice TX 78332-4822 Ph: (361) 664-0145 | Community Action Corporation Of South Texas 301 S Hillside Dr Ste 5615 Beeville TX 78102-5307 Ph: (361) 362-0307 |
| NPI Number | 1629415203 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 05/15/2014 |
| Medicare PECOS PAC ID | 9032003504 |
|---|---|
| Medicare Enrollment ID | O20080318000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629415203 | NPI | - | NPPES |
| 171353905 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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