Organization Name: | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
NPI Number: | 1073940540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN AWALT (EXECUTIVE DIRECTOR) |
Mailing Address: | 201 Roots Ave Taft |
State: | TX US |
Postal Code: | 783903059 |
Phone Number: | 3615284516 |
Fax Number: | 3615284786 |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |