COMMUNITY HEALTH CLINIC (NPI# 1063407922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063407922 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINIC |
| Practice Address |
160 River North Blvd Stephenville TX 76401-1803 |
| Practice Telephone | 2549686051 |
| Practice Fax Number | 2549684950 |
| Mailing Telephone | 2549686051 |
| Mailing Fax Number | 2549684950 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | MS. DEBBIE SCHULTZ (EDI/EPM MANAGER) |
| Authorized Official Telephone | 2549686051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
251622 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
456297 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 208000000X | Pediatrics | L2522 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | K6312 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | E9244 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP TX PROV NUMBER | 0072CP | 01 |
| TX | MEDICAID CHILDREN SPECIAL | 135101703 | 01 |
| TX | MEDICAID TX HEALTH STEPS | 017584601 | 01 |
| TX | 135101706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700139458 | Community Health Clinic | Community Health Worker | 921 Ne 23rd St, Oklahoma City, OK 73105-7936 | 2012-10-18 |
| 1982902458 | Community Health Clinic | Family Medicine | 102 Julia Street, Isola, MS 38754 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CLINIC | 495 W 4th, Dove Creek, CO 81324-0000 |
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CLINIC INC | 1113 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Virginia Business Entities | COMMUNITY HEALTH CLINIC P.C. | Po Box 1020, Honaker, Virginia 24260 |
| Massachusetts Corporations | COMMUNITY HEALTH CLINICS PLLC | 80 Congress St., Springfield, MA 01104 |
| Street Address |
160 RIVER NORTH BLVD |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720010861 | Home Care Direct Incorporated | Home Health | 160 River North Blvd, Stephenville, TX 76401-1803 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552249 | Stephenville Health Clinic, LLC | Family Medicine | 2287 Nw Loop, Stephenville, TX 76401-1701 | 2019-11-12 |
| 1982257986 | Texas Health Care, P.l.l.c. | Family Medicine | 150 River North Boulevard, Stephenville, TX 76401-1860 | 2019-07-18 |
| 1841756087 | Emcc Stephenville Family Practice LLC | Family Medicine | 2108 W Washington St Ste 100, Stephenville, TX 76401-3928 | 2019-02-12 |
| 1326118357 | Jearald & Linda Heflin M.d. P.a. | Family Medicine | 725 N Graham St Ste 700, Stephenville, TX 76401-3100 | 2006-11-08 |
| 1871516385 | Linda Loar Heflin | Family Medicine | 950 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2006-07-25 |
| 1417913344 | Kelly Smith Doggett | Family Medicine | 2216 W Washington St, Stephenville, TX 76401-3838 | 2006-04-20 |
| 1073580916 | Leslie Shane Gilliam | Family Medicine | 205 E Frey St Ste 201, Stephenville, TX 76401-2600 | 2006-02-28 |
| 1225034515 | Bobby Eugene Donohue Jr. | Family Medicine | 251 E Highway 8, Stephenville, TX 76401-2207 | 2005-06-22 |
| 1811423965 | Stephenville Complete Uc & Family Medicine Pllc | Family Medicine | 2108 W Washington St, Stephenville, TX 76401-3928 | 2017-05-11 |
| 1346534302 | Sunitha Malla | Family Medicine | 135 River North Blvd, Stephenville, TX 76401-1804 | 2011-06-07 |
| Find all providers in STEPHENVILLE | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.