| Legacy Community Health Services, Inc | |
|
4450 Highland Ave Beaumont TX 77705-5205 | |
| (409) 242-2525 | |
| Not Available |
| Full Name | Legacy Community Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4450 Highland Ave, Beaumont, Texas |
| Authorized Official Name and Position | Katherine Caldwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8325485000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 4450 Highland Ave Beaumont TX 77705-5205 Ph: (409) 242-2525 |
| NPI Number | 1235482878 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 06/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235482878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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