Provider Demographics
NPI:1336738095
Name:CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type:Organization
Organization Name:CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other - Org Name:CHAMBERS HEALTH SCHOOL BASE HEALTH CENTER DAYTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-267-3143
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:ANAHUAC
Mailing Address - State:TX
Mailing Address - Zip Code:77514-0398
Mailing Address - Country:US
Mailing Address - Phone:409-267-3143
Mailing Address - Fax:
Practice Address - Street 1:101 S PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-2819
Practice Address - Country:US
Practice Address - Phone:409-267-3143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)