| Organization Name: | COMMUNITY HEALTH CLINIC |
| NPI Number: | 1063407922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE SCHULTZ (EDI/EPM MANAGER) |
| Mailing Address: | 160 River North Blvd Stephenville |
| State: | TX US |
| Postal Code: | 764011803 |
| Phone Number: | 2549686051 |
| Fax Number: | 2549684950 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 251622 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |