Organization
MIDLAND COMMUNITY HEALTHCARE SERVICES
Active
Parent organization
MIDLAND COMMUNITY HEALTHCARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDLAND COMMUNITY HEALTHCARE SERVICES
Authorized official
MR. MICHAEL AUSTIN PHD (CEO)
(432) 570-0238
Entity
Organization
Contact information
Practice address
801 E FLORIDA AVE, MIDLAND, TX 79701-8212
(432) 685-0450
(432) 685-0459
Mailing address
PO BOX 5576, MIDLAND, TX 79704-5576
(432) 570-0238
(432) 699-3815
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090KV
BLUE CROSS BLUE SHIELD
TX
05
—
165581305
—
TX
Enumeration date
10/05/2006
Last updated
06/03/2021
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