Organization
COMMUNITY HEALTH DEVELOPMENT, INC
Active
Other names
Canyon Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYELA CASTANON (CHIEF EXECUTIVE OFFICER)
(830) 278-5604
Entity
Organization
Contact information
Practice address
700 S FRIO, CAMP WOOD, TX 78833-0455
(830) 597-6424
(830) 597-6427
Mailing address
908 S EVANS ST, UVALDE, TX 78801-6034
(830) 278-5604
(830) 278-1836
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
Z00FM205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FM20
MEDICARE TRAILBLAZER
TX
05
—
111438104
—
TX
Enumeration date
03/21/2007
Last updated
03/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us