Provider Demographics
NPI:1326242488
Name:MCKENNA HEALTH SYSTEM
Entity Type:Organization
Organization Name:MCKENNA HEALTH SYSTEM
Other - Org Name:MCKENNA NEIGHBORHOOD HEALTH CLINIC THSTEPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-606-9111
Mailing Address - Street 1:1614 W SAN ANTONIO ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6273
Mailing Address - Country:US
Mailing Address - Phone:830-608-1575
Mailing Address - Fax:
Practice Address - Street 1:1614 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6273
Practice Address - Country:US
Practice Address - Phone:830-608-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health