Organization · Type 2 NPI

Community Health Centers of South Central Texas Inc.

Federally Qualified Health Center (FQHC) · Bastrop, TX

NPI number 1629471875 Active

Practice location

275 Jackson St
Bastrop, TX 78602-4316

Call (512) 321-7137 Map

Fax (512) 321-7133

Mailing address

PO Box 1890
Gonzales, TX 78629-1390

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Debra Irwin, MDFamily Medicine Physician Bastrop, TX NPI 1659386712

Other federally qualified health center (fqhc) providers in Bastrop

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NPI record

NPI: 1629471875
Entity type: Organization (Type 2)
Issued: Oct 2, 2014
Last updated: Sep 3, 2020
Status: Active

Other names

<unavail>
Bastrop Community Health Center · doing business as
Bastrop Community Health Center · doing business as

Authorized official

Rafael De la Paz
CEO
(830) 672-6511

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629471875

Community Health Centers of South Central Texas Inc.'s National Provider Identifier is 1629471875, issued on Oct 2, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bastrop, TX. The record was last updated on Sep 3, 2020.