COMMUNITY ACTION CORPORATION OF SOUTH TEXAS (NPI# 1396182739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396182739 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
| Other Organization Name | COMMUNITY ACTION SCHOOL BASE HEALTH CENTER |
| Practice Address |
502 E. San Patricio Mathis TX 78368-2266 |
| Mailing Address |
204 E 1st St Alice TX 78332-4822 |
| Practice Telephone | 3615474121 |
| Mailing Telephone | 3616640145 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | ANN AWALT (EXECUTIVE 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 | 190685101 | 05 |
| Other Name | Type Code |
|---|---|
| Community Action School Base Health Center | 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 |
502 E. SAN PATRICIO |
| City | MATHIS |
| State | TX |
| Zip Code | 78368-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194878314 | Marie Elaine Hall | Physician Assistant | 502 E. San Patricio, Mathis, TX 78368-2266 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942769351 | Sabrina Ann Gonzales | Specialist/Technologist | 602 E San Patricio Ave, Mathis, TX 78368 | 2019-03-15 |
| 1629500897 | Little Bit of Sunshine Adult Center | Clinic/Center | 108 E San Patricio Ave, Mathis, TX 78368 | 2017-03-28 |
| 1134374713 | South Padre Island Pediatric Center | Clinic/Center | 220 E. St. Mary's Street, Mathis, TX 78368 | 2008-11-24 |
| 1811087000 | William Angustus Henderson | Dentist | 1312 E San Patricio, Mathis, TX 78368 | 2006-10-16 |
| 1780775668 | Lakeview Home Care Inc | Home Health | 307 East San Patricio, Mathis, TX 78368 | 2006-09-27 |
| 1083815534 | Mathis I.s.d. | Local Education Agency (LEA) | 602 E. San Patricio Avenue, Mathis, TX 78368-1179 | 2007-05-31 |
| 1104329713 | Jamie Hartnett | Registered Nurse | 305 Willow Dr, Mathis, TX 78368-1539 | 2018-03-10 |
| 1750377073 | Mathis Health Care Center Ltd. Co | Skilled Nursing Facility | 1220 Loop 459, Mathis, TX 78368-1804 | 2005-09-22 |
| 1124508932 | Melinda Ortiz-flores | Physical Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-21 |
| 1669952669 | Nichole Marie Alvarado | Occupational Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-19 |
| Find all providers in zip 78368 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.