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NPI Code Detail

MEDICARE: OUTREACH HEALTH COMMUNITY CARE SERVICES

MEDICARE: OUTREACH HEALTH COMMUNITY CARE SERVICES
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
1251E00000XHome Health Agency007339TX

General Provider Information

NPI Number : 1326224494
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUTREACH HEALTH COMMUNITY CARE SERVICES
Provider Business Mailing Address
First Line : 505 E HUNTLAND DR
Second Line : SUITE 520
City : AUSTIN
State : TX
Zip : 78752-3717
Country : US
Telephone Number : 512-692-7810
Fax Number : 512-973-8005
Provider Business Practice Location Address
First Line : 1919 S SHILOH RD
Second Line : SUITE 420 LB 47
City : GARLAND
State : TX
Zip : 75042-8234
Country : US
Telephone Number : 972-840-7200
Fax Number : 972-840-7201
Authorized Official
Title or Position : DIRECTOR OF CORPORATE COMPLIANCE
Name : SHERRY CUMMINGS
Credential :
Telephone Number : 512-692-7810
Provider Enumeration Date : 01/18/2008
Last Update Date : 01/18/2008

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Directions to “OUTREACH HEALTH COMMUNITY CARE SERVICES ” Practice Location

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