Organization
PREVENTATIVE CARE HEALTH SERVICES, INC.
Active
Other names
Presidio County Health Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MOLINAR (CEO)
(432) 837-4812
Entity
Organization
Contact information
Practice address
406 S SUMMER ST, MARFA, TX 79843
(432) 729-1800
(432) 729-1806
Mailing address
1605 N FT DAVIS HWY, SUITE B, ALPINE, TX 79830
(432) 837-4812
(432) 837-4823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189915501
—
TX
01
—
67-1881
MEDICARE CCN OR PTAN
TX
Enumeration date
10/31/2007
Last updated
12/08/2022
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