Provider Demographics
NPI:1376964858
Name:SOUTH CENTRAL HOUSTON ACTION COUNCIL INC
Entity Type:Organization
Organization Name:SOUTH CENTRAL HOUSTON ACTION COUNCIL INC
Other - Org Name:CENTRAL CARE COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-734-0199
Mailing Address - Street 1:8610 MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-2308
Mailing Address - Country:US
Mailing Address - Phone:713-734-0199
Mailing Address - Fax:713-734-0286
Practice Address - Street 1:14087 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035
Practice Address - Country:US
Practice Address - Phone:713-734-0199
Practice Address - Fax:713-734-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)