MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM


Address: 205 Ida Ave, Bay City, TX 77414-3167
Phone: 9792452008

MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM (NPI# 1073703575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073703575
Entity Type Organization
Organization Name MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Other Organization Name MEHOP ORAL HEALTH CLINIC
Practice Address 205 Ida Ave
Bay City
TX 77414-3167
Mailing Address 101 Avenue F N
Bay City
TX 77414-3167
Practice Telephone 9792452008
Practice Fax Number 9792450242
Mailing Telephone 9792452008
Mailing Fax Number 9792450744
Enumeration Date 2007-07-31
Last Update Date 2020-08-12
Authorized Official Name MRS. EVE CHEN (CFO)
Authorized Official Telephone 9792452008
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
671914 TX Ambulatory Health Care Facilities
Y 1223D0001X Dentist
Specialization: Dental Public Health
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 347977601 05

Other Provider/Organization Names

Other Name Type Code
MEHOP Dental Doing Business As Name - Organization
MEHOP Oral Health Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1467009092 Matagorda Episcopal Health Outreach Program Clinic/Center 307 Green Ave Ste A, Palacios, TX 77465-3213 2019-08-19
1841813490 Matagorda Episcopal Health Outreach Program Clinic/Center 2112 Regional Medical Drive, Suite 1313, Wharton, TX 77488 2020-05-18
1639667645 Matagorda Episcopal Health Outreach Program Clinic/Center 10141 Us 59 Hwy, Wharton, TX 77488-7224 2018-04-25
1477911154 Matagorda Episcopal Health Outreach Program Clinic/Center 205 Ida Ave, Bay City, TX 77414 2016-02-09
1548649767 Matagorda Episcopal Health Outreach Program Clinic/Center 101 Avenue F N, Bay City, TX 77414-3167 2015-05-20
1861741779 Matagorda Episcopal Health Outreach Program Counselor 1700 Golden Ave, Bay City, TX 77414-3122 2012-09-06
1598024788 Matagorda Episcopal Health Outreach Program Internal Medicine 1700 Golden Ave, Bay City, TX 77414-3122 2012-05-09

Office Location

Street Address 205 IDA AVE
City BAY CITY
State TX
Zip Code 77414-3167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477911154 Matagorda Episcopal Health Outreach Program Clinic/Center 205 Ida Ave, Bay City, TX 77414 2016-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962040436 Bay City Pharmacy Pharmacy 3217 Avenue F, Bay City, TX 77414 2019-12-16
1013572585 Amber Robinson Massage Therapist 11 Cr 126, 2, Bay City, TX 77414 2019-05-09
1699288076 Paula Orsak Dental Hygienist 205 Ida Ave., Bay City, TX 77414 2017-11-08
1376905844 Cathy Green Nurse Practitioner 600 Hospital Circle, Suite 201, Bay City, TX 77414 2016-03-24
1609277391 Mary Elizabeth Young Pharmacist 2700 7th Street, Bay City, TX 77414 2014-09-12
1194151621 Tillman Moody Daniel Jr. General Practice 2721 Oak Dr., Bay City, TX 77414 2013-09-16
1578863494 Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc Dentist 4040 Ave F, Bay City, TX 77414 2010-10-26
1770818247 Jennifer Kaye Davis-lewis Chiropractor 720 Avenue F, Suite 2, Bay City, TX 77414 2009-10-16
1639321177 Fondren Orthopedic Group L.l.p. Orthopaedic Surgery 720 Avenue F. North, Suite 5, Bay City, TX 77414 2008-10-15
1275684979 Earl Stanley Brown Optometrist 3612 Ave F, Bay City, TX 77414 2007-01-16
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982221032 Girish Suresh Shelke Dentist 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 2020-07-05
1386289767 Nazgol Gharbi Dentist 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 2019-11-09
1841845989 Ensy Ann Atarod Dentist 1303 San Antonio St Ste 500, Austin, TX 78701-0025 2019-08-06
1073177531 Kendall Dds Pllc Dentist 2124 S Donnybrook Ave, Tyler, TX 75701-4239 2019-04-30
1093272932 Dental Smiles Dentist 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 2019-02-27
1790240794 Jamboree Dentistry Vi Pllc Dentist 6715 Bissonnet St, Houston, TX 77074-6129 2019-02-04
1083198311 Husain Kapadia Dentist 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 2018-09-21
1679076848 Northside Health Center Dentist 8504 Schuller, Houston, TX 77093 2018-03-14
1093218257 Sharpstown Health Clinic Dentist 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 2018-03-14
1700389962 La Nueva Casa De Amigos Dentist 1809 N Main Street, Houston, TX 77009 2018-03-14
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Competitor

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City BAY CITY
Zip Code 77414

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Dataset Information

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.

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