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General NPI Number Information
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NPI Number | 1174422448
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH DEVELOPMENT INC.
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 210 E KERR ST
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City | ROCKSPRINGS
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State | TX
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Zip | 78880
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Country | US
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Telephone | 830-278-7105
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E KERR ST
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City | ROCKSPRINGS
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State | TX
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Zip | 78880
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Country | US
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Telephone | 830-278-7105
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECAILIST
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Name | SUZANNE NOEL CARTER
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Credential |
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Telephone | 830-278-5604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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