| Stephen F Austin Community Health Center,inc | |
|
1136 Grand Ave Bacliff TX 77518-2760 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Stephen F Austin Community Health Center,inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1136 Grand Ave, Bacliff, Texas |
| Authorized Official Name and Position | Mark David Young (CEO) |
| Authorized Official Contact | 2818241480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 1136 Grand Ave Bacliff TX 77518-2760 Ph: (281) 824-1480 |
| NPI Number | 1962986562 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962986562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |