LEGACY COMMUNITY HEALTH SERVICES, INC (NPI# 1699117523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699117523 |
| Entity Type | Organization |
| Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
4301 Garth Rd Suite 302, 306, and 400 Baytown TX 77521-3153 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | KATHERINE CALDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8325485000 |
| 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 |
4301 GARTH RD SUITE 302, 306, AND 400 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435572 | Baytown Plastic Surgery, P.a. | Plastic Surgery | 4301 Garth Rd, Ste 101, Baytown, TX 77521-3157 | 2005-05-31 |
| 1962927426 | Maria Isabel Munoz | Counselor | 4301 Garth Rd, 302,306,400, Baytown, TX 77521-3159 | 2017-08-06 |
| 1306374749 | Michael Lee Ham | Counselor | 4301 Garth Rd, Baytown, TX 77521 | 2017-05-30 |
| 1205369915 | Berlondrika Jertoria Mcneal | Student in an Organized Health Care Education/Training Program | 4301 Garth Rd, Baytown, TX 77521-3153 | 2017-04-10 |
| 1851741805 | Adrienne Kicza | Family Medicine | 4301 Garth Rd, Suite 400, Baytown, TX 77521-3153 | 2016-06-20 |
| 1982050241 | Lynda Celeste Montgomery | Family Medicine | 4301 Garth Rd, Suites 302, 306, and 400, Baytown, TX 77521-3159 | 2016-05-05 |
| 1093127540 | Eli Newsome | Family Medicine | 4301 Garth Rd, 302, 306 and 400, Baytown, TX 77521-3153 | 2014-06-02 |
| 1205181419 | Sameera Jabeen | Family Medicine | 4301 Garth Rd, Ste 400, Baytown, TX 77521-3153 | 2012-07-13 |
| 1366705139 | David J Cherian | Family Medicine | 4301 Garth Rd, Suite 400, Baytown, TX 77521-3153 | 2012-06-18 |
| 1336402254 | Farhan Tanveer Rizvi | Family Medicine | 4301 Garth Rd, Suite 400, Baytown, TX 77521-3153 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| 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 |
|---|---|---|---|---|
| 1538417621 | Legacy Community Health Services, Inc | Clinic/Center | 6730 Independence Blvd Ste 300, Baytown, TX 77521-0205 | 2012-08-21 |
| 1831338490 | Chambers County Public Hospital District #1 | Clinic/Center | 9825 Eagle Dr, Baytown, TX 77523-9847 | 2009-02-05 |
| 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.