Organization Name: | MIDLAND COMMUNITY HEALTHCARE SERVICES |
NPI Number: | 1013016906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL AUSTIN (CEO) |
Mailing Address: | 400 Rosalind Redfern Grover Pkwy 3rd Floor Midland |
State: | TX US |
Postal Code: | 797015846 |
Phone Number: | 4326813100 |
Fax Number: | 4326813108 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |