ST. PAUL'S MOBILE CLINIC
NPI 1265613285
Clinic/Center - Federally Qualified Health Center (FQHC) in Tyler, TX
About St. Paul's Mobile Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. PAUL'S MOBILE CLINIC (NPI 1265613285) is a healthcare organization registered as a federally qualified health center (fqhc) in Tyler, Texas and active in the NPI registry since November 2007. The organization lists Judy Davis, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75702
TYLER, TX 75702
TYLER, TX 75702
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Health Clinic Of Northeast Texas's NPI number?
The NPI number for Community Health Clinic Of Northeast Texas is 1265613285. It was assigned to this organization in the NPPES registry on November 19, 2007. The provider is doing business as St. Paul's Mobile Clinic.
Where is Community Health Clinic Of Northeast Texas located?
Community Health Clinic Of Northeast Texas is located at 928 N Glenwood Blvd, Tyler, TX 75702. The listed phone number is (903) 533-7400.
What is Community Health Clinic Of Northeast Texas's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
When was this NPI record last updated?
The NPPES record for Community Health Clinic Of Northeast Texas was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St. Paul's Mobile Clinic · NPI 1265613285
Federally Qualified Health Center (FQHC) organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since November 19, 2007.
## Identity
- **NPI:** 1265613285 (Entity type: Organization)
- **Enumerated:** November 19, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Health Clinic Of Northeast Texas
- **Organization subpart:** No
- **Authorized official:** Judy Davis, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 928 N GLENWOOD BLVD, Tyler, TX 75702-5055
- **Phone:** (903) 533-7400
## Record status
- **NPPES last updated:** November 19, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1265613285) · Data from the CMS NPPES public registry.