Provider Demographics
NPI:1518347921
Name:PRESIDIO CARE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PRESIDIO CARE HEALTH SERVICES, INC.
Other - Org Name:PRESIDIO COUNTY HEALTH SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-837-4812
Mailing Address - Street 1:1605 N FT DAVIS HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830
Mailing Address - Country:US
Mailing Address - Phone:432-837-4812
Mailing Address - Fax:432-837-4823
Practice Address - Street 1:1605 N FT DAVIS HWY
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830
Practice Address - Country:US
Practice Address - Phone:732-837-4555
Practice Address - Fax:432-837-4556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREVENTATIVE CARE HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-02
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty