LEGACY COMMUNITY HEALTH SERVICES, INC (NPI# 1184029969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184029969 |
| Entity Type | Organization |
| Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
450 N 11th St Beaumont TX 77702-1804 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Practice Fax Number | 7135234897 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | KATHERINE CALDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8325485051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| 1063922441 | Legacy Community Health Services, Inc | Clinic/Center | 5598 North Fwy Ste A1, Houston, TX 77076-4702 | 2017-10-11 |
| 1295251650 | Legacy Community Health Services, Inc | Pharmacy | 1415 California St Ste 110, Houston, TX 77006-2602 | 2017-08-17 |
| 1407213085 | Legacy Community Health Services, Inc | Clinic/Center | 5515 South Loop East, Houston, TX 77033-1603 | 2016-01-27 |
| 1063750669 | Legacy Community Health Services, Inc | Clinic/Center | 2965 Harrison St Ste 320, Beaumont, TX 77702-1150 | 2013-01-17 |
| 1871846964 | Legacy Community Health Services, Inc | Clinic/Center | 8430 Westglen Dr, Houston, TX 77063-6312 | 2012-10-26 |
| 1093068348 | Legacy Community Health Services, Inc | Clinic/Center | 11000 Scott St, Houston, TX 77047-1500 | 2012-10-24 |
| 1578816815 | Legacy Community Health Services, Inc | Clinic/Center | 8440 Westpark Dr, Houston, TX 77063-5808 | 2012-10-24 |
| Street Address |
450 N 11TH ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037725 | Mobolanle A. Fagbemi | Nurse Practitioner | 450 N 11th St, Beaumont, TX 77702-1804 | 2011-09-13 |
| 1306304035 | April M Monroe | Social Worker | 450 N 11th St, Beaumont, TX 77702 | 2019-03-12 |
| 1154796829 | Legacy Community Health Services, Inc. | Clinic/Center | 450 N 11th St, Beaumont, TX 77702-1804 | 2015-12-07 |
| 1174900575 | Anson Huynh | Family Medicine | 450 N 11th St, Beaumont, TX 77702 | 2015-05-05 |
| 1184961856 | Beverly Ann Prejean | Nurse Practitioner | 450 N 11th St, Beaumont, TX 77702-1804 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| 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 |
|---|---|---|---|---|
| 1063750669 | Legacy Community Health Services, Inc | Clinic/Center | 2965 Harrison St Ste 320, Beaumont, TX 77702-1150 | 2013-01-17 |
| 1467700112 | Legacy Dundas Clinic(no Longer In Service) | Clinic/Center | 810 Hospital Dr Ste 300, Beaumont, TX 77701-4635 | 2012-08-28 |
| 1003852203 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 1300 Beaumont Brooklyn Rd, Beaumont, MS 39423-2233 | 2006-06-22 |
| 1831166826 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 1411 Bradley Ave, Beaumont, MS 39423-0000 | 2006-03-08 |
| 1932694122 | Legacy Community Health Services, Inc | Clinic/Center | 3455 Stagg Dr, Beaumont, TX 77701-4521 | 2018-06-29 |
| 1154796829 | Legacy Community Health Services, Inc. | Clinic/Center | 450 N 11th St, Beaumont, TX 77702-1804 | 2015-12-07 |
| 1508261561 | Legacy Community Health Services, Inc | Clinic/Center | 2830 Calder St, Beaumont, TX 77702-1809 | 2014-11-03 |
| 1235482878 | Legacy Community Health Services, Inc | Clinic/Center | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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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.