Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE CALDWELL (EXECUTIVE DIRECTOR)
(832) 548-5000
Entity
Organization
Contact information
Practice address
4450 HIGHLAND AVE, BEAUMONT, TX 77705-5205
(409) 242-2525
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
06/02/2017
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