Healthcare Provider Details

I. General information

NPI: 1255373296
Provider Name (Legal Business Name): COMMUNITY CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N PATRICK ST
DUBLIN TX
76446-1917
US

IV. Provider business mailing address

203 N PATRICK ST
DUBLIN TX
76446-1917
US

V. Phone/Fax

Practice location:
  • Phone: 254-445-4150
  • Fax: 254-445-3903
Mailing address:
  • Phone: 254-445-4150
  • Fax: 254-445-3903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0031352
License Number StateTX

VIII. Authorized Official

Name: JESSICA COWAN
Title or Position: GM
Credential:
Phone: 254-445-4150