COMMUNITY HEALTH 1ST ER, LLC (NPI# 1811475346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811475346 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH 1ST ER, LLC |
Other Organization Name | COMMUNITY HEALTH 1ST ER |
Practice Address |
1101 East Blvd Deer Park TX 77536-1909 |
Mailing Address |
9870 Gaylord Dr Apt 1006 Houston TX 77024-2655 |
Practice Telephone | 2813065180 |
Enumeration Date | 2018-08-06 |
Last Update Date | 2019-01-13 |
Authorized Official Name | ANTENEH BELAY (DIRECTOR) |
Authorized Official Telephone | 8322254293 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Community Health 1st ER | Doing Business As Name - Organization |
Street Address |
1101 EAST BLVD |
City | DEER PARK |
State | TX |
Zip Code | 77536-1909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245718808 | Md for You, Pllc | Emergency Medicine | 1101 East Blvd, Deer Park, TX 77536-1909 | 2018-08-04 |
1235795535 | Deer Park Physician Group Pllc | Emergency Medicine | 1101 East Blvd, Deer Park, TX 77536-1909 | 2019-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
Find all providers in zip 77536 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780027193 | Center Street Dp Medical Center LLC | Clinic/Center | 3701 Center St, Deer Park, TX 77536-6103 | 2013-04-16 |
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1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
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1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
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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.