Organization
COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNA SANCHEZ (ADMINISTRATOR)
(254) 968-6051
Entity
Organization
Contact information
Practice address
160 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Mailing address
160 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9244
TX
208000000X
Pediatrics Physician
K6312
TX
208000000X
Pediatrics Physician
L2522
TX
363LF0000X
Family Nurse Practitioner
251622
TX
363LW0102X
Women's Health Nurse Practitioner
456297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072CP
GROUP TX PROV NUMBER
TX
01
—
017584601
MEDICAID TX HEALTH STEPS
TX
01
—
135101703
MEDICAID CHILDREN SPECIAL
TX
05
—
135101706
—
TX
Enumeration date
09/16/2005
Last updated
11/11/2025
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