<Unavail>
LBN: Matagorda Episcopal Health Outreach Program
<Unavail> is an health care organization with primary practice located at 205 Ida Ave , Bay City TX 77414-3167. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Dental Providers / Dentist is the primary health care specialty.
Matagorda Episcopal Health Outreach Program can be contacted via phone (979) 245-2008, or through Harrison, Celeste via phone (979) 245-2008.
Contact Information
Primary practice address
205 Ida Ave
Bay City TX 77414-3167
Phone: (979) 245-2008
Fax: (979) 245-0242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 671914 | Texas |
Profile Details
| NPI number | 1073703575 |
|---|---|
| LBN Legal business name | Matagorda Episcopal Health Outreach Program |
| DBA Doing business as | <Unavail> |
| Authorized official | Harrison, Celeste |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Jan 16th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073703575 | NPPES |
| Texas | MEDICAID | 347977601 |
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