| Stephen F Austin Community Health Center, Inc | |
|
10851 Scarsdale Blvd Ste 160 Houston TX 77089-5737 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Stephen F Austin Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10851 Scarsdale Blvd Ste 160, Houston, Texas |
| Authorized Official Name and Position | Courtney Gaines (CREDENTIALING) |
| Authorized Official Contact | 2818241480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen F Austin Community Health Center, Inc 1111 W Adoue St Alvin TX 77511-2718 Ph: (281) 824-1480 | Stephen F Austin Community Health Center, Inc 10851 Scarsdale Blvd Ste 160 Houston TX 77089-5737 Ph: (281) 824-1480 |
| NPI Number | 1295395812 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 6204977127 |
|---|---|
| Medicare Enrollment ID | O20190729000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295395812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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