NPI | 1699652438 |
---|---|
Doing Business As | AMISTAD HEALTH |
Entity Type | Organization |
Authorized Contact | TAMIKO ROCHELL RICHARDSON Revenue Cycle And Compliance Coord 903-736-2577 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-08-20 |
Last Update Date | 2025-08-20 |