Community Health Choice, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

28-094693 Issued in TX

Legal business name

COMMUNITY HEALTH CHOICE, INC.

Practice address

2636 South Loop W
Suite 700
Houston, TX 77054-2680

Phone

(713) 295-2268

Fax

(713) 295-7047

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glen Royce Johnson

Title

President and Ceo

Phone

(713) 295-2201

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174690580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 SOUTH LOOP W",
            "address_2": "SUITE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542680",
            "telephone_number": "713-295-2268",
            "fax_number": "713-295-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 SOUTH LOOP W",
            "address_2": "SUITE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542680",
            "telephone_number": "713-295-2268",
            "fax_number": "713-295-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CHOICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "713-295-2201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "28-094693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Houston, TX
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• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.