COMMUNITY HEALTH SERVICE AGENCY, INC. (NPI# 1104485374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104485374 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE AGENCY, INC. |
| Practice Address |
606 Culver St Commerce TX 75428-3608 |
| Mailing Address |
Po Box 1908 Greenville TX 75403-1908 |
| Practice Telephone | 9034543025 |
| Practice Fax Number | 9034501408 |
| Mailing Telephone | 9034543025 |
| Mailing Fax Number | 9034501408 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MICHELLE P CARTER (CEO) |
| Authorized Official Telephone | 9034555986 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH SERVICE AGENCY, INC. |
| 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 |
|---|---|---|---|---|
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 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 |
606 CULVER ST |
| City | COMMERCE |
| State | TX |
| Zip Code | 75428-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923900 | Tina Marie Hill | Pharmacist | 2710 State Hwy 50, Commerce, TX 75428 | 2019-10-09 |
| 1548773260 | Sarah Marie Mitchell | Specialist/Technologist | 2600 South Neal Street, Health & Human Performance, Commerce, TX 75428 | 2017-11-16 |
| 1275053936 | Jeffrey Williams | Specialist/Technologist | 2702 Tangle Wood Dr., Commerce, TX 75428 | 2017-06-23 |
| 1821453473 | Smile Corner Pllc | Dentist | 2210 Live Oak Street, Suite C, Commerce, TX 75428 | 2015-12-28 |
| 1851789044 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2710 Highway 24, Commerce, TX 75428 | 2014-12-23 |
| 1982871356 | Latrina Camille Bacy | Counselor | 442 B Wheeler Drive, Commerce, TX 75428 | 2008-05-14 |
| 1770625824 | Commerce Isd | Local Education Agency (LEA) | 604 Culver St., Commerce, TX 75428 | 2007-02-13 |
| 1588691463 | Suzette K. Doescher | Social Worker | 101 King Plz Ste A, Commerce, TX 75428 | 2006-06-27 |
| 1700871498 | Richard R Selvaggi | Family Medicine | 1705 Live Oak St, Commerce, TX 75428 | 2005-09-19 |
| 1194181339 | Synergistic Health Care | Physician Assistant | 1930 Live Oak St, Commerce, TX 75428-2460 | 2016-01-04 |
| Find all providers in zip 75428 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
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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 |
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| 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.