Organization · Type 2 NPI

Legacy Community Health Services, Inc

Federally Qualified Health Center (FQHC) · Beaumont, TX

NPI number 1184029969 Active

Practice location

450 N 11th St
Beaumont, TX 77702-1804

Fax (713) 523-4897

Mailing address

PO Box 66308
Houston, TX 77266-6308

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1184029969

Legacy Community Health Services, Inc's National Provider Identifier is 1184029969, issued on Oct 23, 2014. 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 Oct 4, 2021.