Healthcare Provider Details

I. General information

NPI: 1417032343
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S ROSS STERLING
ANAHUAC TX
77514
US

IV. Provider business mailing address

PO BOX 398
ANAHUAC TX
77514-0398
US

V. Phone/Fax

Practice location:
  • Phone: 409-267-4126
  • Fax: 409-267-4120
Mailing address:
  • Phone: 409-267-4126
  • Fax: 409-267-4120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ROBERT PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143