| Community Health Service Agency, Inc. | |
|
8th East Plaza Ladonia TX 75449 | |
| (903) 367-7213 | |
| (903) 367-7215 |
| Full Name | Community Health Service Agency, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8th East Plaza, Ladonia, Texas |
| Authorized Official Name and Position | Dan Shepherd (CEO) |
| Authorized Official Contact | 9034555986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Service Agency, Inc. Po Box 1908 Greenville TX 75403-1908 Ph: (903) 455-5986 | Community Health Service Agency, Inc. 8th East Plaza Ladonia TX 75449 Ph: (903) 367-7213 |
| NPI Number | 1073597076 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073597076 | NPI | - | NPPES |
| 019036501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |