| Mch Family Health Clinic | |
|
6030 W University Blvd Odessa TX 79764-8530 | |
| (432) 640-6600 | |
| (432) 640-4791 |
| Full Name | Mch Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6030 W University Blvd, Odessa, Texas |
| Authorized Official Name and Position | David Garcia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4326404868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mch Family Health Clinic 6030 W University Blvd Ste 100 Odessa TX 79764-8530 Ph: (432) 640-6600 | Mch Family Health Clinic 6030 W University Blvd Odessa TX 79764-8530 Ph: (432) 640-6600 |
| NPI Number | 1558715201 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 5496657769 |
|---|---|
| Medicare Enrollment ID | O20160927001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558715201 | NPI | - | NPPES |
| 091952402 | Medicaid | TX | |
| 366000301 | Medicaid | TX | |
| 091952401 | Medicaid | TX | |
| 135235310 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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