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VIDOR COMMUNITY HEALTH CLINIC INC
NPI 1487669073
Nurse Practitioner - Family in Vidor, TX

Active since July 30, 2006
1290 HIGHWAY 12, VIDOR, TX 77662(409) 769-7795(409) 769-8721 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidor Community Health Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDOR COMMUNITY HEALTH CLINIC INC (NPI 1487669073) is a healthcare organization registered as a family in Vidor, Texas and active in the NPI registry since July 2006. The organization lists Linda J Boone, President, as its authorized official.

NPPES Registry Identity

NPI1487669073
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVIDOR COMMUNITY HEALTH CLINIC INC
Location Address1290 HIGHWAY 12Vidor, TX 77662-4016
Mailing AddressPo Box 2202Vidor, TX 77670-2202 · (409) 769-7795 · Fax (409) 769-8721
Phone(409) 769-7795
Fax(409) 769-8721
Organization SubpartNo
Authorized OfficialLinda J BoonePresident · (409) 769-7795
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 19, 2010
✔ NPI 1487669073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 561872
1290 HIGHWAY 12, Vidor, TX 77662
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Other Identifiers 4

OtherRU0016TX · Bcbs
Medicare ID-Type Unspecified458932TX
Other00037HTX · Medicare Part B
Medicaid119735203TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Vidor Community Health Clinic Inc's NPI number?

The NPI number for Vidor Community Health Clinic Inc is 1487669073. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Vidor Community Health Clinic Inc located?

Vidor Community Health Clinic Inc is located at 1290 Highway 12, Vidor, TX 77662. The listed phone number is (409) 769-7795.

What is Vidor Community Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vidor Community Health Clinic Inc was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.