Provider Demographics
NPI:1770647729
Name:CALHOUN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CALHOUN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-552-9721
Mailing Address - Street 1:117 W ASH ST
Mailing Address - Street 2:
Mailing Address - City:PORT LAVACA
Mailing Address - State:TX
Mailing Address - Zip Code:77979-2912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 W ASH ST
Practice Address - Street 2:
Practice Address - City:PORT LAVACA
Practice Address - State:TX
Practice Address - Zip Code:77979-2912
Practice Address - Country:US
Practice Address - Phone:361-552-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPH0034Medicare ID - Type UnspecifiedMEDICARE NUMBER