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Organization

AMISTAD COMMUNITY HEALTH CENTER INCORPORATED

Active
Parent organization
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Other names
Amistad Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Authorized official
MRS. TAMIKO ROCHELL RICHARDSON (REVENUE CYCLE AND COMPLIANCE COORD)
(903) 736-2577
Entity
Organization

Contact information

Practice address
1711 W WHEELER AVE STE 3, ARANSAS PASS, TX 78336-4565
(361) 884-2242
(361) 884-2243
Mailing address
1533 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3131
(361) 884-2242
(361) 884-2243

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
12/04/2024
Last updated
04/03/2025
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