Organization
COMMUNITY HEALTH SERVICE AGENCY, INC
Active
Other names
Carevide
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARTER (CEO)
(903) 455-5986
Entity
Organization
Contact information
Practice address
1211 E 6TH ST STE 300, BONHAM, TX 75418-4094
(903) 583-6155
(903) 583-3158
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
—
019055501
—
TX
Enumeration date
11/29/2005
Last updated
06/15/2023
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