| Brazos Valley Community Action Agency, Inc | |
|
315 Prospect Dr Trinity TX 75862-6202 | |
| (936) 744-1400 | |
| (936) 594-2418 |
| Full Name | Brazos Valley Community Action Agency, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 Prospect Dr, Trinity, Texas |
| Authorized Official Name and Position | Theresa Sabella (CEO) |
| Authorized Official Contact | 9793832348 |
| 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 315 Prospect Dr Trinity TX 75862-6202 Ph: (936) 744-1400 |
| NPI Number | 1083194138 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 4284542127 |
|---|---|
| Medicare Enrollment ID | O20181203000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083194138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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