Community Health Service Agency, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Ladonia, TX
NPI 1073597076 · NPPES record last updated Nov 22, 2010
Key facts
- NPI
- 1073597076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH SERVICE AGENCY, INC.
- Practice address
- 8TH East Plaza
Ladonia, TX 75449 - Phone
- (903) 367-7213
- Fax
- (903) 367-7215
- NPI assigned
- Dec 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Dan Shepherd
- Title
- Ceo
- Phone
- (903) 455-5986
National Provider Directory
Locations
8TH E PLZ
Ladonia, TX 75449
Phone (903) 367-7213
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
8TH East Plaza
Ladonia, TX 75449
Mailing address
PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5986
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019036501 | Medicaid | TX |
Other names
- Ladonia Medical Center
Other providers in Ladonia, TX
All providers in Ladonia, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.