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NPI Code Detail

MEDICARE: CACTUS HEALTH SERVICES, INC

MEDICARE: CACTUS HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1881974616
Entity Type Code : Organization
Provider Name (Legal Business Name) : CACTUS HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 700 N MAIN ST
Second Line :
City : FORT STOCKTON
State : TX
Zip : 79735-5626
Country : US
Telephone Number : 432-336-8110
Fax Number : 833-415-1031
Provider Business Practice Location Address
First Line : 700 N MAIN ST
Second Line :
City : FORT STOCKTON
State : TX
Zip : 79735-5626
Country : US
Telephone Number : 432-336-8110
Fax Number : 833-415-1031
Authorized Official
Title or Position : CEO
Name : RACHEL MECHELLE RODRIGUEZ
Credential :
Telephone Number : 432-290-2209
Provider Enumeration Date : 08/24/2011
Last Update Date : 10/25/2024

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Directions to “CACTUS HEALTH SERVICES, INC ” Practice Location

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