Organization Name: | GULF COAST HEALTH CTR INC |
NPI Number: | 1225036932 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHA E THIGPEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 710 Highway 327 E Silsbee |
State: | TX US |
Postal Code: | 776565022 |
Phone Number: | 4093861222 |
Fax Number: | 4099834933 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 07/12/2013 |
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: |