| Legacy Community Health Services, Inc | |
|
450 N 11th St Beaumont TX 77702-1804 | |
| (832) 548-5000 | |
| (713) 523-4897 |
| Full Name | Legacy Community Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 N 11th St, Beaumont, Texas |
| Authorized Official Name and Position | Robert L Hilliard (CEO) |
| Authorized Official Contact | 8325485277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Community Health Services, Inc Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5000 | Legacy Community Health Services, Inc 450 N 11th St Beaumont TX 77702-1804 Ph: (832) 548-5000 |
| NPI Number | 1184029969 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 7911969092 |
|---|---|
| Medicare Enrollment ID | O20141106002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184029969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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