Provider Demographics
NPI: | 1194209361 |
---|---|
Name: | HOLY FAMILY SERVICES, INC. |
Entity type: | Organization |
Organization Name: | HOLY FAMILY SERVICES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BILLING COORDINATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NOELIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GALVAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 956-585-3600 |
Mailing Address - Street 1: | 5819 N FM 88 |
Mailing Address - Street 2: | |
Mailing Address - City: | WESLACO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78599-3275 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-969-2538 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5819 N FM 88 |
Practice Address - Street 2: | |
Practice Address - City: | WESLACO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78599-3275 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-969-2538 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-09-24 |
Last Update Date: | 2019-06-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QB0400X | Ambulatory Health Care Facilities | Clinic/Center | Birthing |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 109619003 | Medicaid | |
TX | 007203 | Other | BIRTH CENTER LICENSE |