Provider Demographics
NPI:1912675802
Name:NEW DAY COMMUNITY HEALTH CENTER
Entity Type:Organization
Organization Name:NEW DAY COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:254-715-3166
Mailing Address - Street 1:100 DOMINION DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7556
Mailing Address - Country:US
Mailing Address - Phone:254-981-8571
Mailing Address - Fax:254-306-0499
Practice Address - Street 1:210 E AVE J
Practice Address - Street 2:BLDG 1
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5892
Practice Address - Country:US
Practice Address - Phone:254-981-8571
Practice Address - Fax:254-306-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care