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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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