Provider Demographics
NPI:1427029289
Name:HEALTH INC
Entity Type:Organization
Organization Name:HEALTH INC
Other - Org Name:THE SHEPHERDS COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-358-4242
Mailing Address - Street 1:407 N ADAMS
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-4943
Mailing Address - Country:US
Mailing Address - Phone:361-358-4242
Mailing Address - Fax:361-358-8370
Practice Address - Street 1:407 N ADAMS
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-4943
Practice Address - Country:US
Practice Address - Phone:361-358-4242
Practice Address - Fax:361-358-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X
TX261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451964Medicare UPIN
TX00729UMedicare ID - Type UnspecifiedPART B
TX671825Medicare Oscar/Certification
TX451964Medicare Oscar/Certification