Midland Community Healthcare Services

LBN: Midland Community Healthcare Services
Midland Community Healthcare Services is an health care organization with primary practice located at 400 Rosalind Redfern Grover Pkwy 3Rd Floor, Midland TX 79701-5846. 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. Midland Community Healthcare Services can be contacted via phone (432) 681-3100, or through Austin, Michael via phone (432) 570-0238.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy 3Rd Floor Midland TX 79701-5846
Phone: (432) 681-3100
Fax: (432) 681-3108
Website:
Map and Directions
Authorized official contact:
Name: Austin, Michael PHD
Phone: (432) 570-0238

Health care specialties

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

Profile Details

NPI number 1013016906
LBN Legal business name Midland Community Healthcare Services
DBA Doing business as
Authorized official Austin, Michael PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 3rd, 2021 - about 5 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 1013016906 NPPES
Texas Other 0090KV BLUE CROSS BLUE SHEILD
Texas MEDICAID 165581307 BLUE CROSS BLUE SHEILD
Texas MEDICAID 165581305 BLUE CROSS BLUE SHEILD

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