Organization
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Active
Other names
AMISTAD COMMUNITY HEALTH CENTER- GLORIA HICKS
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA TALIA PETERSON (CFO)
(361) 886-3066
Entity
Organization
Contact information
Practice address
3602 MCARDLE RD RM WRM2, CORPUS CHRISTI, TX 78415-2623
(361) 299-7056
Mailing address
1533 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3131
(361) 884-2242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/03/2025
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