STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC (NPI# 1265983852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265983852 |
| Entity Type | Organization |
| Organization Name | STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | STEPHEN F AUSTIN ADMINISTRATIVE OFFICE |
| Practice Address |
1612 Callaway Dr Alvin TX 77511-3743 |
| Practice Telephone | 2818241480 |
| Practice Fax Number | 8774892319 |
| Mailing Telephone | 2818241480 |
| Mailing Fax Number | 8774892319 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | MARK YOUNG (CEO) |
| Authorized Official Telephone | 2818241480 |
| 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 |
| Other Name | Type Code |
|---|---|
| Stephen F Austin Administrative Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967776 | Stephen F Austin Community Health Center, Inc | Clinic/Center | 2020 E Mulberry St, Angleton, TX 77515-3923 | 2019-11-19 |
| 1396305413 | Stephen F Austin Community Health Center, Inc | Pharmacy | 905 N Gulf Blvd Ste 100, Freeport, TX 77541-3907 | 2019-06-20 |
| 1417414343 | Stephen F Austin Community Health Center, Inc | Family Medicine | 792 S. Highway 288 B, Clute, TX 77531-5712 | 2019-02-27 |
| 1295395812 | Stephen F Austin Community Health Center, Inc | Clinic/Center | 10851 Scarsdale Blvd Ste 160, Houston, TX 77089-5737 | 2019-06-17 |
| 1427529858 | Stephen F Austin Community Health Center, Inc | Clinic/Center | 1612 Callaway Dr, Alvin, TX 77511-3743 | 2018-12-11 |
| 1629577416 | Stephen F Austin Community Health Center, Inc | Family Medicine | 2552 Broadway St Ste 102, Pearland, TX 77581-4904 | 2018-02-07 |
| Street Address |
1612 CALLAWAY DR |
| City | ALVIN |
| State | TX |
| Zip Code | 77511-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982901393 | Domonick F Crane | Counselor | 1612 Callaway Dr, Alvin, TX 77511-3743 | 2011-02-21 |
| 1427529858 | Stephen F Austin Community Health Center, Inc | Clinic/Center | 1612 Callaway Dr, Alvin, TX 77511-3743 | 2018-12-11 |
| 1568905446 | Pulcharia Thompson | Nurse Practitioner | 1612 Callaway Dr, Alvin, TX 77511 | 2016-11-28 |
| 1225485253 | Demeatraus Minter | Counselor | 1612 Callaway Dr, Alvin, TX 77511 | 2016-05-19 |
| 1316341779 | Janee Stokes | Registered Nurse | 1612 Callaway Dr, Alvin, TX 77511 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245975 | Chau T Nguyen | Pharmacist | 400 S. Bypass 35, Alvin, TX 77511 | 2020-11-02 |
| 1215548235 | Roozbeh Ghasemi | Dentist | 2101 Alvin Bypass #106, Alvin, TX 77511 | 2020-08-13 |
| 1992287320 | Tamra Sanson | Registered Nurse | 2800 Mustang Rd Apt 403, Alvin, TX 77511 | 2018-09-01 |
| 1265930101 | National Vision, Inc. | Technician/Technologist | 1240 Fm 1462, Ste 300, Alvin, TX 77511 | 2018-01-25 |
| 1275050643 | Hannah Corena Kenney | Specialist/Technologist | 122 Leisure Lane, Alvin, TX 77511 | 2017-08-27 |
| 1700260684 | Alvin Dialysis Renal | Clinic/Center | 101 East House Street, Alvin, TX 77511 | 2015-07-10 |
| 1740682715 | Alvin Family Dental | Dentist | 173 Tovrea Rd., Ste. E., Alvin, TX 77511 | 2014-09-22 |
| 1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
| 1235577057 | Veruschka Kristel Rivera Colon | Speech-Language Pathologist | 601 E Clements St, Alvin, TX 77511 | 2013-06-14 |
| 1780981555 | Brazoria Urgent Care LLC | Internal Medicine | 2300 Highway 35, Suite A, Alvin, TX 77511 | 2011-02-14 |
| Find all providers in zip 77511 | ||||
| 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 |
|---|---|---|---|---|
| 1144234501 | Alvin Community Health Endeavor | Clinic/Center | 416 S Johnson St, Alvin, TX 77511-2747 | 2006-07-28 |
| 1275085813 | Stephen F Austin Community Health Center,inc | Clinic/Center | 101 Brennen Ln, Alvin, TX 77511-3533 | 2016-10-31 |
| 1306395132 | Stephen F Austin Community Health Center, Inc. | Clinic/Center | 218 E House St, Alvin, TX 77511-3544 | 2016-09-21 |
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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 | ||||
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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.