Organization
MIDLAND COMMUNITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL AUSTIN PHD (CEO)
(432) 570-0238
Entity
Organization
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, 3RD FLOOR, MIDLAND, TX 79701-5846
(432) 681-3100
(432) 681-3108
Mailing address
PO BOX 5576, MIDLAND, TX 79704-5576
(432) 570-0238
(432) 699-3815
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090KV
BLUE CROSS BLUE SHEILD
TX
05
—
165581305
—
TX
05
—
165581307
—
TX
Enumeration date
09/21/2006
Last updated
06/03/2021
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