Organization
COMMUNITY HEALTH SERVICE AGENCY, INC.
Active
Other names
Ladonia Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN SHEPHERD (CEO)
(903) 455-5986
Entity
Organization
Contact information
Practice address
8TH EAST PLAZA, LADONIA, TX 75449
(903) 367-7213
(903) 367-7215
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 455-5986
(903) 454-4621
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019036501
—
TX
Enumeration date
12/02/2005
Last updated
11/22/2010
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