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Organization

ALVIN COMMUNITY HEALTH ENDEAVOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY WILLIS BENEFIELD CEO (CHIEF EXECUTIVE OFFICER)
(281) 331-2888
Entity
Organization

Contact information

Practice address
416 S JOHNSON ST, ALVIN, TX 77511-2747
(281) 331-2888
(281) 331-2889
Mailing address
416 S JOHNSON ST, ALVIN, TX 77511-2747
(281) 331-2888
(281) 331-2889

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1687022-01
TX
Enumeration date
07/28/2006
Last updated
01/20/2009
About Stedi
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