Organization
LEGACY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE CALDWELL (EXECUTIVE DIRECTOR)
(832) 548-5051
Entity
Organization
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5076
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
H80CS07502
TX
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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