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Organization

COMMUNITY HEALTH SERVICE AGENCY, INC.

Active
Other names
Carevide, Cooper Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE P CARTER (CFO)
(903) 455-5986
Entity
Organization

Contact information

Practice address
91 W SIDE SQ, COOPER, TX 75432-1725
(903) 395-0586
(903) 395-0589
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 455-5986
(903) 454-4621

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191774201
TX
Enumeration date
11/26/2007
Last updated
03/04/2026
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