COMMUNITY HEALTH SERVICE AGENCY, INC. (NPI# 1184607723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184607723 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE AGENCY, INC. |
| Other Organization Name | BONHAM MEDICAL CENTER |
| Practice Address |
920 N Center St Bonham TX 75418-3751 |
| Mailing Address |
Po Box 1908 Greenville TX 75403-1908 |
| Practice Telephone | 9035836155 |
| Practice Fax Number | 9035833158 |
| Mailing Telephone | 9034555986 |
| Mailing Fax Number | 9034544621 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DAN SHEPHERD (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 019055501 | 05 |
| Other Name | Type Code |
|---|---|
| Bonham Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 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 |
| 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 |
920 N CENTER ST |
| City | BONHAM |
| State | TX |
| Zip Code | 75418-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880789 | Benjamin Hanssen | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2019-03-13 |
| 1710345038 | Dustin Ray Elk | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2016-02-01 |
| 1568619229 | Lisa Brittmon | Nurse Practitioner | 920 N Center St, Bonham, TX 75418-3751 | 2008-08-25 |
| 1659472330 | Eric Jeffrey Williams | Family Medicine | 920 N Center St, Bonham, TX 75418-3751 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795093 | Custom Dental of Bonham Pllc | Clinic/Center | 2016 State Highway 121 N, Bonham, TX 75418 | 2019-11-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1619474293 | Fannin County Hospital Authority | Surgery | 1211 E 6th St Ste 120, Bonham, TX 75418 | 2018-04-10 |
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1992166227 | Strengthen Your Family Chiropractic, Pllc | Chiropractor | 2110 N Center St., Suite A, Bonham, TX 75418 | 2016-03-15 |
| 1841618626 | Faye Wright | Health Maintenance Organization | 3801 Silo Rd, Bonham, TX 75418 | 2014-03-31 |
| 1861658973 | Ppacta | Nursing Facility/Intermediate Care Facility | 712 County Road 4205, Bonham, TX 75418 | 2008-07-29 |
| 1033381322 | Shanida Roxana Blades | Social Worker | 1201 E 9th Street, Bonham, TX 75418 | 2008-03-27 |
| 1821275470 | Antonio Rafael Lopez-canino | Psychiatry & Neurology | 1201 East Ninth Street, North Texas Veterans Healthcare, Bonham, TX 75418 | 2008-01-25 |
| 1275745465 | Jagdish A. Shah,md | Internal Medicine | 1220 East 6th Street, Bonham, TX 75418 | 2007-05-03 |
| Find all providers in zip 75418 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 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 | ||||
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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.