Provider Demographics
NPI:1720819642
Name:COMMUNITY HEALTH DEVELOPMENT INC.
Entity type:Organization
Organization Name:COMMUNITY HEALTH DEVELOPMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAYELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-5604
Mailing Address - Street 1:908 EVANS ST STE A
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6052
Mailing Address - Country:US
Mailing Address - Phone:830-278-5604
Mailing Address - Fax:
Practice Address - Street 1:601 DEAN ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4373
Practice Address - Country:US
Practice Address - Phone:830-278-7105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH DEVELOPMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-12
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)