Provider Demographics
NPI:1558434894
Name:HEALTH AND HUMAN SERVICES COMMISSION
Entity Type:Organization
Organization Name:HEALTH AND HUMAN SERVICES COMMISSION
Other - Org Name:RIO GRANDE STATE CENTER STHCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-913-1580
Mailing Address - Street 1:4110 GUADALUPE ST
Mailing Address - Street 2:HOSPITAL REVENUE MGMT.-MC2023
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-4223
Mailing Address - Country:US
Mailing Address - Phone:512-206-5011
Mailing Address - Fax:512-206-5302
Practice Address - Street 1:1301 S RANGERVILLE RD
Practice Address - Street 2:(CLINIC)
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-7610
Practice Address - Country:US
Practice Address - Phone:956-425-8900
Practice Address - Fax:210-531-8172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0212193-04Medicaid
TX0212193-05Medicaid
TX0212193-04Medicaid
TX0212193-05Medicaid
TX454088Medicare PIN