COMMUNITY ACTION CORPORATION OF SOUTH TEXAS (NPI# 1609010131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609010131 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
| Practice Address |
115 W Main St Benavides TX 78341 |
| Mailing Address |
204 E 1st St Alice TX 78332-4822 |
| Practice Telephone | 3612563663 |
| Practice Fax Number | 3616642248 |
| Mailing Telephone | 3616640145 |
| Mailing Fax Number | 3616642248 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | ANN AWALT (EXECUTIVE DRIECTOR) |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | L5201 | TX | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE- UNSPEICIED TYPR ID | 00QW12 | 01 |
| TX | 205219301 | 05 |
| 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 |
115 W MAIN ST |
| City | BENAVIDES |
| State | TX |
| Zip Code | 78341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942519434 | Victory Ambulance Services LLC | Ambulance | 208 N Texas Blvd, Benavides, TX 78341 | 2010-09-30 |
| 1265625248 | Mrng, Inc. | Home Health | 111 West Railroad Ave, Benavides, TX 78341 | 2007-08-22 |
| 1104045681 | Benavides Isd | Local Education Agency (LEA) | 106 W. School Street, Benavides, TX 78341 | 2007-04-24 |
| 1912068628 | Community Action Council of South Texas | Legal Medicine | 115 West Main St, Benavides, TX 78341 | 2006-12-13 |
| 1669565420 | Santa Fe Healthcare, Inc. | Home Health | 119 W. Railroad Ave., Benavides, TX 78341 | 2006-10-02 |
| 1184738213 | City of Benavides Ems | Ambulance | 213 North Clark, Benavides, TX 78341 | 2006-08-18 |
| 1932444809 | Whitney Donanne Stacy | Nurse Practitioner | 115 W. Main St, Benavides, TX 78341 | 2012-12-04 |
| 1437352457 | Chaparral Health Clinic | Clinic/Center | 115 West Main St, Benavides, TX 78341 | 2007-06-07 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 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 |
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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.