Organization · Type 2 NPI
Legacy Community Health Services, Inc
Federally Qualified Health Center (FQHC) · Beaumont, TX
NPI number
1063750669
Active
Practice location
2965 Harrison St Ste 320
Beaumont, TX 77702-1150
Fax (713) 523-4897
Mailing address
PO Box 66308
Houston, TX 77266-6308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | H80CS07502 HRSA ID (TX) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1063750669
Legacy Community Health Services, Inc's National Provider Identifier is 1063750669, issued on Jan 17, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Beaumont, TX. The record was last updated on Jan 17, 2013.