Legacy Community Health Services, Inc

LBN: Legacy Community Health Services, Inc
Legacy Community Health Services, Inc is an health care organization with primary practice located at 2965 Harrison St Ste 320 , Beaumont TX 77702-1150. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Legacy Community Health Services, Inc can be contacted via phone (409) 899-1360, or through Caldwell, Katherine via phone 83254855051.

Contact Information

Primary practice address
2965 Harrison St Ste 320 Beaumont TX 77702-1150
Phone: (409) 899-1360
Fax: (713) 523-4897
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Katherine
Phone: 83254855051

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X H80CS07502 HRSA ID Texas

Profile Details

NPI number 1063750669
LBN Legal business name Legacy Community Health Services, Inc
DBA Doing business as
Authorized official Caldwell, Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063750669 NPPES
Texas MEDICAID 080462703

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