COMMUNITY HEALTH SERVICE AGENCY,INC (NPI# 1871844167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871844167 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE AGENCY,INC |
| Other Organization Name | CHSA DENTAL CLINIC |
| Practice Address |
3600 Caddo St Greenville TX 75401-4511 |
| Mailing Address |
4500 Wesley St Greenville TX 75401-5644 |
| Practice Telephone | 9034546965 |
| Practice Fax Number | 9034547981 |
| Mailing Telephone | 9034543025 |
| Mailing Fax Number | 9034501408 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | MICHELLE P CARTER (CHEIF EXECUTIVE OFFICIER) |
| Authorized Official Telephone | 9034555986 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHSA Dental Clinic | Doing Business As Name - Organization |
| Street Address |
3600 CADDO ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780641 | Jack William Lewis | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2005-06-16 |
| 1033557293 | Jennifer C Ezeh | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2013-06-10 |
| 1265879985 | Julianna Royston | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2013-06-04 |
| 1740536739 | Mary Sarah Paulowsky Wildey | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2012-07-27 |
| 1083982920 | Carrie Beth Hartline | Dental Hygienist | 3600 Caddo St, Greenville, TX 75401-4511 | 2011-12-07 |
| 1174838064 | Doina Mihaela Charan | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2010-08-16 |
| 1598080269 | Lorenzo M Prats | Dentist | 3600 Caddo St, Greenville, TX 75401-4511 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821475575 | Community Health Service Agency, Inc | Clinic/Center | 3005 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7776 | 2015-05-01 |
| 1124262431 | Greene County Health Care, Inc | Clinic/Center | 261 Belvoir Highway, Greenville, NC 27834-8193 | 2009-04-30 |
| 1508057076 | Delta Health Center, Inc. | Clinic/Center | 1414 Hospital St, Greenville, MS 38703-3217 | 2007-08-08 |
| 1942491428 | Women & Pediatric Clinic | Clinic/Center | 1217 E Railroad Ave, Greenville, MS 38703-3256 | 2007-08-08 |
| 1205949757 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2006-08-17 |
| 1306848650 | Community Health Centers of Western Kentucky, Inc. | Clinic/Center | 480 Hopkinsville St, Greenville, KY 42345-1124 | 2005-06-01 |
| 1376183855 | New Horizon Family Health Services, Inc. | Clinic/Center | 1133 Pendleton St, Greenville, SC 29601-2317 | 2020-01-13 |
| 1912543836 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2019-11-26 |
| 1013361583 | Family Health Services of Darke County, Inc. | Clinic/Center | 1101 Jackson St, Greenville, OH 45331-1183 | 2016-04-20 |
| 1306205810 | Family Health Services of Darke County, Inc. | Clinic/Center | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2016-02-12 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH SERVICE AGENCY,INC.
| 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.