COMMUNITY ACTION CORPORATION OF SOUTH TEXAS (NPI# 1164868998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164868998 |
Entity Type | Organization |
Organization Name | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
Other Organization Name | COMMUNITY ACTION HEALTH CENTER KLEBERG |
Practice Address |
1311 General Cavazos Blvd Suites 303 and C Kingsville TX 78363-7150 |
Mailing Address |
204 E 1st St Alice TX 78332-4822 |
Practice Telephone | 3615923237 |
Mailing Telephone | 3616640145 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2015-09-09 |
Authorized Official Name | ANN E AWALT (IEXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3616640145 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 171353904 | 05 |
Other Name | Type Code |
---|---|
Community Action Health Center Kleberg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740755933 | Community Action Corporation of South Texas | Dietitian, Registered | 212 S Rachal St, Sinton, TX 78387-2524 | 2018-10-04 |
1538644836 | Community Action Corporation of South Texas | Dietitian, Registered | 4444 Corona Dr Ste 139, Corpus Christi, TX 78411-4323 | 2018-10-02 |
1972967313 | Community Action Corporation of South Texas | Clinic/Center | 101 W Potts St, Falfurrias, TX 78355-4906 | 2016-04-12 |
1073940540 | Community Action Corporation of South Texas | Clinic/Center | 201 Roots Ave, Taft, TX 78390-3059 | 2013-09-30 |
1174950646 | Community Action Corporation of South Texas | Clinic/Center | 1621 E Corral Ave, Kingsville, TX 78363-4142 | 2013-09-30 |
1184868663 | Community Action Corporation of South Texas | Family Medicine | 1302 S St Marys St, Falfurrias, TX 78355-5034 | 2009-04-28 |
1487139986 | Community Action Corporation of South Texas | Dietitian, Registered | 5709 Springfield Ave, Laredo, TX 78041-3282 | 2018-10-01 |
1659822039 | Community Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, A, Kingsville, TX 78363-7150 | 2016-10-20 |
1912317801 | Community Action Corporation of South Texas | Clinic/Center | 301 S Hillside Dr, 5,6,15, Beeville, TX 78102-5307 | 2014-05-01 |
1316374358 | Community Action Corporation of South Texas | Clinic/Center | 614 W Front St, Alice, TX 78332-7112 | 2013-10-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS | 204 E 1st St, Alice, TX 78332-4822 |
Street Address |
1311 GENERAL CAVAZOS BLVD SUITES 303 AND C |
City | KINGSVILLE |
State | TX |
Zip Code | 78363-7150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700883642 | Deanna Justice Reynolds | Pathology | 1311 General Cavazos Blvd, Lab - Christus Spohn Hospital Kleberg, Kingsville, TX 78363-7129 | 2005-07-07 |
1306496609 | Bala Niklesh Reddy Pothireddy | Physical Therapist | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2019-09-18 |
1659822039 | Community Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, A, Kingsville, TX 78363-7150 | 2016-10-20 |
1649632266 | Laura Requenez | Physician Assistant | 1311 General Cavazos Blvd, 303 and C, Kingsville, TX 78363-7150 | 2016-03-23 |
1912308099 | Communiuty Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, Suites 303 and C, Kingsville, TX 78363-7150 | 2014-09-09 |
1750701496 | Kingsville Cardiovascular Clinic, Pa | Internal Medicine | 1311 General Cavazos Blvd, Suite 201, Kingsville, TX 78363-7150 | 2014-04-21 |
1861825903 | Anna Rosa Bray | Nurse Practitioner | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-13 |
1265865307 | Cynthia G Salinas | Nurse Practitioner | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-13 |
1427480276 | Christus Spohn Kleberg Hospital | General Acute Care Hospital | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-08-04 |
1942540877 | Gerald Banks | Emergency Medicine | 1311 General Cavazos Blvd, Kingsville, TX 78363-7150 | 2013-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023598810 | Adriana Galicia | Speech-Language Pathologist | 316 E General Cavasos Blvd, Kingsville, TX 78363 | 2018-08-21 |
1609379171 | Amanda Sue Benavidez | Counselor | 1621 East Corral, Kingsville, TX 78363 | 2018-03-12 |
1437666831 | Castaneda Quick Care, P.l.l.c. | Nurse Practitioner | 907 E. Fordyce Ave., Kingsville, TX 78363 | 2018-01-08 |
1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
1508104415 | Angels of God Home Health LLC | Licensed Vocational Nurse | 117 N 7th St., Kingsville, TX 78363 | 2013-01-28 |
1679818595 | Randall L Simonsen Md Pa | Pathology | 1311 East General Cavazos, Christus Spohn Hospital Kleberg, Kingsville, TX 78363 | 2012-12-04 |
1124378120 | Cecil David Matthews | Pharmacist | 1010 West Ave B, Oee, Kingsville, TX 78363 | 2012-09-17 |
1861621708 | Amber Insook Chun | Student in an Organized Health Care Education/Training Program | 1010 West Avenue B, Texas A&m Health Science Center, Msc 131, Kingsville, TX 78363 | 2009-07-14 |
1437317294 | Ugarte Family Medical Clinic | Family Medicine | 1311 E General Cavazos Blvd Ste L, Kingsville, TX 78363 | 2008-05-29 |
1871773945 | Richard Gerard Sanchez | Counselor | 205 East King, Suite 3, Kingsville, TX 78363 | 2007-11-06 |
Find all providers in zip 78363 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174950646 | Community Action Corporation of South Texas | Clinic/Center | 1621 E Corral Ave, Kingsville, TX 78363-4142 | 2013-09-30 |
1659822039 | Community Action Corporation of South Texas | Clinic/Center | 1311 General Cavazos Blvd, A, Kingsville, TX 78363-7150 | 2016-10-20 |
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---|---|---|---|---|
1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
Find all providers with the same taxonomy |
City | KINGSVILLE |
Zip Code | 78363 |
Please comment or provide details below to improve the information on COMMUNITY ACTION CORPORATION OF SOUTH TEXAS.
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.