LEGACY DUNDAS CLINIC(NO LONGER IN SERVICE) (NPI# 1467700112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467700112 |
| Entity Type | Organization |
| Organization Name | LEGACY DUNDAS CLINIC(NO LONGER IN SERVICE) |
| Practice Address |
810 Hospital Dr Ste 300 Beaumont TX 77701-4635 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 4098359300 |
| Practice Fax Number | 7135234897 |
| Mailing Telephone | 8325485076 |
| Mailing Fax Number | 7135234897 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | KATY CALDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8325485015 |
| 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 |
| Street Address |
810 HOSPITAL DR STE 300 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| 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 |
| 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 |
| 1184029969 | Legacy Community Health Services, Inc | Clinic/Center | 450 N 11th St, Beaumont, TX 77702-1804 | 2014-10-23 |
| 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 | ||||
Please comment or provide details below to improve the information on LEGACY DUNDAS CLINIC(NO LONGER IN SERVICE).
| 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.