Organization
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Active
Parent organization
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Other names
Amistad Community Health Center - Aransas Pass, Amistad Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Authorized official
CLARA TALIA PETERSON (CFO)
(361) 886-3066
Entity
Organization
Contact information
Practice address
1711 W WHEELER AVE STE 1, ARANSAS PASS, TX 78336-4536
(361) 886-3025
(361) 884-2243
Mailing address
1533 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3131
(361) 884-2242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
11/02/2021
Last updated
04/03/2025
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