| Community Health Service Agency, Inc | |
|
3005 Joe Ramsey Blvd E Ste A Greenville TX 75401-7776 | |
| (903) 455-4458 | |
| (903) 455-1604 |
| Full Name | Community Health Service Agency, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3005 Joe Ramsey Blvd E Ste A, Greenville, Texas |
| Authorized Official Name and Position | Michelle P Carter (CEO) |
| Authorized Official Contact | 9034555986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Service Agency, Inc Po Box 1908 Greenville TX 75403-1908 Ph: (903) 454-3025 | Community Health Service Agency, Inc 3005 Joe Ramsey Blvd E Ste A Greenville TX 75401-7776 Ph: (903) 455-4458 |
| NPI Number | 1821475575 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 03/09/2022 |
| Medicare PECOS PAC ID | 6305735150 |
|---|---|
| Medicare Enrollment ID | O20150709001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821475575 | NPI | - | NPPES |
| 368577801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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