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General NPI Number Information
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NPI Number | 1730205634
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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 | 03/22/2007
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 140 W RANCH ROAD 337
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City | LEAKEY
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State | TX
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Zip | 78873
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Country | US
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Telephone | 830-232-6985
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Fax |
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Provider Business Mailing Address
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Address Line | 908 EVANS ST
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City | UVALDE
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State | TX
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Zip | 78801-6034
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Country | US
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Telephone | 830-278-5604
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Fax | 830-278-1836
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. MAYELA CASTANON
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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 | Z00FM205
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License Number State | TX
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