Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE CALDWELL (EXECUTIVE DIRECTOR)
(832) 548-5051
Entity
Organization
Contact information
Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5076
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
06/09/2011
Last updated
03/24/2014
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