Organization
COMMUNITY HEALTH SERVICE AGENCY, INC.
Active
Other names
Carevide
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE P CARTER (CFO)
(903) 455-5986
Entity
Organization
Contact information
Practice address
106 MEDICAL CIR, SULPHUR SPRINGS, TX 75482-2138
(903) 885-1730
(903) 885-0050
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(039) 454-3025
(903) 450-1408
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404335801
—
TX
Enumeration date
09/25/2019
Last updated
03/04/2026
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