Organization
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC
Active
Parent organization
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL INC
Other names
Luling Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL INC
Authorized official
RAFAEL DE LA PAZ (CEO)
(830) 672-6511
Entity
Organization
Contact information
Practice address
111 S. LAUREL AVENUE, LULING, TX 78648-2624
(830) 875-6399
(830) 875-6398
Mailing address
PO BOX 1890, GONZALES, TX 78629-1390
(830) 672-6511
(830) 672-6430
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00HE62
BLUE CROSS BLUE SHIELD
TX
05
—
083010101
—
TX
05
—
121440502
—
TX
05
—
121440505
—
TX
Enumeration date
06/03/2008
Last updated
09/03/2020
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