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
CLARA TALIA PETERSON (CFO)
(361) 886-3066
Entity
Organization
Contact information
Practice address
814 E MAIN AVE, ROBSTOWN, TX 78380-3135
(361) 884-2242
Mailing address
1533 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3131
(361) 884-2242
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
01/27/2020
Last updated
04/03/2025
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