COMMUNITY HEALTH SERVICE AGENCY, INC. (NPI# 1184275711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184275711 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE AGENCY, INC. |
| Practice Address |
105-ll Medical Plaza Sulphur Springs TX 75482 |
| Mailing Address |
Po Box 1908 Greenville TX 75403-1908 |
| Practice Telephone | 9034555986 |
| Practice Fax Number | 9034501408 |
| Mailing Telephone | 0394543025 |
| Mailing Fax Number | 9034501408 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MICHELLE P CARTER (CEO) |
| Authorized Official Telephone | 9034555986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carevide | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104485374 | Community Health Service Agency, Inc. | Clinic/Center | 606 Culver St, Commerce, TX 75428-3608 | 2019-06-11 |
| 1245411792 | Community Health Service Agency, Inc. | Clinic/Center | 1406 N Mcdonald St, Mckinney, TX 75071-1826 | 2007-11-26 |
| 1073597076 | Community Health Service Agency, Inc. | Clinic/Center | 8th East Plaza, Ladonia, TX 75449 | 2005-12-02 |
| 1184607723 | Community Health Service Agency, Inc. | Clinic/Center | 920 N Center St, Bonham, TX 75418-3751 | 2005-11-29 |
| 1922081561 | Community Health Service Agency, Inc. | Clinic/Center | 111 N Johnson St, Farmersville, TX 75442-2103 | 2005-11-29 |
| 1700067253 | Community Health Service Agency, Inc. | Clinic/Center | 91 W Side Sq, Cooper, TX 75432-1725 | 2007-11-26 |
| 1528041191 | Community Health Service Agency, Inc. | Clinic/Center | 4311 Wesley St, Greenville, TX 75401-5639 | 2005-11-28 |
| Street Address |
105-LL MEDICAL PLAZA |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip Code | 75482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211866 | Carolyn Sue Wheeler | Pharmacist | 809 Gilmer Rd, Sulphur Springs, TX 75482 | 2020-10-05 |
| 1952940371 | Max Baxter II | Technician | 130 Sherry Lane, Sulphur Springs, TX 75482 | 2020-01-02 |
| 1700427093 | Talon Thomas Bell | Chiropractor | 2655 Texas Highway 11 East, Sulphur Springs, TX 75482 | 2019-10-08 |
| 1184107211 | Julie Ann Gustafson | Registered Nurse | 60 Cr 2323, Sulphur Springs, TX 75482 | 2018-09-14 |
| 1437639317 | Heath White | Physical Therapy Assistant | 3846 Fm 2285, Sulphur Springs, TX 75482 | 2018-08-20 |
| 1336650175 | Sulphur Springs Chiropractic Associates Inc | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482 | 2017-10-19 |
| 1497027361 | Daniel Lawrence, Dds, PC | Clinic/Center | 620 Church Street, Sulphur Springs, TX 75482 | 2012-02-07 |
| 1952607467 | Travis J Wies | Nurse Practitioner | 1339 S Broadway St, Sulphur Springs, TX 75482 | 2011-01-31 |
| 1205163458 | Ashlei Thomas | Social Worker | 803 Putman St, Sulphur Springs, TX 75482 | 2009-11-09 |
| 1437483450 | Fred Daniel Hill | Chiropractor | 5173 Tx. Hwy. 154 S, Sulphur Springs, TX 75482 | 2009-09-23 |
| Find all providers in zip 75482 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.