HEALTH CENTER OF SOUTHEAST TEXAS (NPI# 1124640347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640347 |
| Entity Type | Organization |
| Organization Name | HEALTH CENTER OF SOUTHEAST TEXAS |
| Other Organization Name | HEALTH CENTER OF SOUTHEAST TEXAS - PHARMACY |
| Practice Address |
307 N William Barnett Ave Cleveland TX 77327-4061 |
| Practice Telephone | 2815922224 |
| Practice Fax Number | 2815922225 |
| Mailing Telephone | 2815922224 |
| Mailing Fax Number | 2815922225 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | STEVEN RACCIATO (CEO) |
| Authorized Official Telephone | 2815922224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 671866 | 05 |
| Other Name | Type Code |
|---|---|
| Health Center of Southeast Texas - Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595838 | Health Center of Southeast Texas | Family Medicine | 1002 Bowie St, Liberty, TX 77575-4659 | 2019-08-28 |
| 1043570567 | Health Center of Southeast Texas | Clinic/Center | 1202 N Travis St, Liberty, TX 77575-3540 | 2012-05-17 |
| 1346472537 | Health Center of Southeast Texas | Clinic/Center | 1651 S Byrd Ave, Shepherd, TX 77371-3281 | 2009-08-20 |
| 1225059686 | Health Center of Southeast Texas | Clinic/Center | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2006-07-21 |
| 1659744217 | Health Center of Southeast Texas | Clinic/Center | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2015-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTH CENTER OF SOUTHEAST TEXAS | 307 N William Barnett Ave, Cleveland, TX 77327-4061 |
| Street Address |
307 N WILLIAM BARNETT AVE |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77327-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225059686 | Health Center of Southeast Texas | Clinic/Center | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2006-07-21 |
| 1366809469 | Alexa Sweeney | Nurse Practitioner | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2016-01-20 |
| 1659744217 | Health Center of Southeast Texas | Clinic/Center | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2015-11-04 |
| 1245607761 | Nurzy Mathew | Nurse Practitioner | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2015-09-01 |
| 1144636812 | Crystal Holloway | Nurse Practitioner | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2014-07-02 |
| 1447422381 | Tracy Michelle Lee-mcgee | Physician Assistant | 307 N William Barnett Ave, Cleveland, TX 77327-4061 | 2008-04-01 |
| 1285648733 | Gwendolyn Faye Stephens | Social Worker | 307 N William Barnett Ave, Cleveland, TX 77327 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1689102642 | Nikki J0 Morgan | Nurse Practitioner | 117 S William Barnett Ave Ste A, Cleveland, TX 77327 | 2017-06-02 |
| 1811439292 | Charlotte Susanne Key | Nurse Practitioner | 211 S College Avenue, Cleveland, TX 77327 | 2016-11-16 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
| 1104035914 | Lanette C Sikes | Dentist | 117 E Houston, Cleveland, TX 77327 | 2007-05-21 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1508996950 | City of Cleveland | Ambulance | 207 E Boothe, Cleveland, TX 77327 | 2007-03-06 |
| Find all providers in zip 77327 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932764941 | Take Charge Nutrition, LLC | Pharmacy | 1690 25th St Nw Ste D, Cleveland, TN 37311-3613 | 2019-05-06 |
| 1811979420 | The Cleveland Clinic Foundation | Pharmacy | 2049 E 100th St, Cleveland, OH 44195-0001 | 2005-11-18 |
| 1245212869 | The Cleveland Clinic Foundation | Pharmacy | 8950 Euclid Ave, Cleveland, OH 44106-2971 | 2005-11-18 |
| 1851373476 | The Cleveland Clinic Foundation | Pharmacy | 10201 Carnegie Ave, Cleveland, OH 44106-2130 | 2005-11-18 |
| 1043291784 | The Cleveland Clinic Foundation | Pharmacy | 9211 Euclid Ave, Jj10 Pharmacy, Cleveland, OH 44106-2043 | 2005-11-09 |
| 1205327095 | Neighborhood Health Care Incorporated | Pharmacy | 3569 Ridge Rd, Cleveland, OH 44102-5443 | 2018-05-29 |
| 1588049779 | Care Alliance | Pharmacy | 2916 Central Ave, Cleveland, OH 44115-3229 | 2015-07-29 |
| 1932235983 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2007-02-26 |
| 1841326899 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 13301 Miles Ave, Cleveland, OH 44105-5521 | 2007-02-26 |
| 1659407682 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2007-02-26 |
| Find all providers in CLEVELAND | ||||
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| 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.