Organization
COMMUNITY HEALTH SERVICE AGENCY, INC.
Active
Other names
Carevide, Pediatric Center of Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE P CARTER (CFO)
(903) 455-5986
Entity
Organization
Contact information
Practice address
3005 JOE RAMSEY BLVD E STE A, GREENVILLE, TX 75401-7776
(903) 455-4458
(903) 455-1604
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 454-3025
(903) 450-1408
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368577801
—
TX
Enumeration date
05/01/2015
Last updated
03/04/2026
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