| Brazos Valley Community Action Agency, Inc. | |
|
1500 University Dr E #100 College Station TX 77840-2600 | |
| (979) 846-1100 | |
| (979) 260-9390 |
| Full Name | Brazos Valley Community Action Agency, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 University Dr E, College Station, Texas |
| Authorized Official Name and Position | Amanda Kirkland (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9795965852 |
| 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 College Station TX 77840-2600 Ph: (979) 810-8148 | Brazos Valley Community Action Agency, Inc. 1500 University Dr E #100 College Station TX 77840-2600 Ph: (979) 846-1100 |
| NPI Number | 1821185299 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 02/19/2025 |
| Medicare PECOS PAC ID | 4284542127 |
|---|---|
| Medicare Enrollment ID | O20250116001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821185299 | NPI | - | NPPES |
| 1568519122 | Other | TX | NPI L |
| 1700973187 | Other | TX | NPI G |
| 187842302 | Medicaid | TX | |
| 000951607 | Medicaid | TX | |
| 1750470084 | Other | TX | NPI M |
| 1912056730 | Other | TX | NPI PHARM |
| 1275726853 | Other | TX | NPI CS |
| 187842301 | Medicaid | TX | |
| 21721320 | Medicaid | TX | |
| 1275620551 | Other | TX | NPI ROBERTSON CHC |
| 154467801 | Medicaid | TX | |
| 154467803 | Medicaid | TX | |
| 1649265646 | Other | TX | NPI BCS |
| 1407163660 | Other | TX | ROCK PRAIRIE FAMILY MEDICINE AND OBSTETRICS-NPI |
| 185649401 | Medicaid | TX | |
| 000951608 | Medicaid | TX | |
| 1043527476 | Other | TX | COLLEGE STATION FAMILY MEDICINE CLINIC - NPI |
| 1811171580 | Other | TX | NPI MEDICAID GROUP OB BILLING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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