1821177866 NPI number — SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC.

Table of content: (NPI 1154673671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821177866 NPI number — SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821177866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 300345
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77230-0345
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-734-4580
Provider Business Mailing Address Fax Number:
713-734-1564

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3315 DELANO STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77004-3284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-831-9663
Provider Business Practice Location Address Fax Number:
713-831-9660
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROLAND
Authorized Official First Name:
MARCUS
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
713-734-4580

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 111687304 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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