LADONIA MEDICAL CENTER – NPI #1073597076
Clinic/Center

LADONIA MEDICAL CENTER is an AHC clinic located in LADONIA, TX. NPPES has assigned the NPI number 1073597076 to LADONIA MEDICAL CENTER on December 02, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LADONIA MEDICAL CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTH SERVICE AGENCY, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Nov 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LADONIA MEDICAL CENTER below.

NPI Profile for
COMMUNITY HEALTH SERVICE AGENCY, INC.

NPI Number
1073597076
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH SERVICE AGENCY, INC.
Doing Business As (dba): LADONIA MEDICAL CENTER
Primary location
8TH EAST PLAZA
LADONIA, TX 75449
Phone: (903) 367-7213 Fax: (903) 367-7215
Mailing address
PO BOX 1908
GREENVILLE, TX 75403-1908
Phone: (903) 455-5986 Fax: (903) 454-4621
Organization Subpart
No
Authorized Official
DAN SHEPHERD
CEO
Phone: (903) 455-5986
Updated
Identifiers

Identifiers for LADONIA MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX019036501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.