Organization
COMMUNITY HEALTH SERVICE AGENCY, INC.
Active
Other names
Carevide
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE P CARTER (CFO)
(903) 455-5986
Entity
Organization
Contact information
Practice address
4311 WESLEY ST, GREENVILLE, TX 75401-5639
(903) 455-5958
(903) 454-4514
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 454-3025
(903) 450-1408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CN31
MEDICARE/NOVITAS
TX
05
—
081921102
—
TX
Enumeration date
05/14/2015
Last updated
03/04/2026
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