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Contact Information

BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION
191 E PRICE RD
BROWNSVILLE, TX78521-3527
 Phone: 956-621-3645
 Fax: 956-544-1662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION

NPI # 1295778512
LBN Legal business name BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION
Authorized official JASON WALLACE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 05/05/2026 - About a month ago
Identifiers
TX License # 1292
TX Medicaid 150946
Other 2093720 PK
TX Other 4514902 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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