Organization
COMMUNITY HEALTH SERVICE AGENCY, INC.
Active
Other names
CHSA Dental Clinic, Carevide, Carvide
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) 454-6965
(903) 454-7981
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 455-5986
(903) 454-4621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314965001
—
TX
Enumeration date
09/26/2012
Last updated
03/04/2026
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