UTMB REGIONAL AND MATERNAL CHILD HEALTH PROGRAM (NPI# 1932286986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932286986 |
| Entity Type | Organization |
| Organization Name | UTMB REGIONAL AND MATERNAL CHILD HEALTH PROGRAM |
| Other Organization Name | UTMB RMCHP - HUNTSVILLE |
| Practice Address |
1217 Avenue M Huntsville TX 77340-4607 |
| Mailing Address |
301 University Blvd Route - 1078 Galveston TX 77555-1078 |
| Practice Telephone | 9362957474 |
| Practice Fax Number | 9362951516 |
| Mailing Telephone | 4097727725 |
| Mailing Fax Number | 4097727726 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LIZ CASTILLO (DIRECTOR, CLINICAL SUPPORT SERVICES) |
| Authorized Official Telephone | 4097727725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UTMB RMCHP - Huntsville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053617993 | Utmb Regional and Maternal Child Health Program | Clinic/Center | 2014 North 10th Street, Orange, TX 77630-3431 | 2011-02-09 |
| 1568532398 | Utmb Regional and Maternal Child Health Program | Clinic/Center | 206 Mimms Ave, Nacogdoches, TX 75961-5028 | 2006-11-09 |
| Street Address |
1217 AVENUE M |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265677173 | Carol Myers | Registered Nurse | 1217 Avenue M, Huntsville, TX 77340-4607 | 2008-12-05 |
| 1376732198 | Kathryn Olivares | Registered Nurse | 1217 Avenue M, Huntsville, TX 77340-4607 | 2007-10-17 |
| 1598825192 | Susan L Cain | Nurse Practitioner | 1217 Avenue M, Huntsville, TX 77340-4607 | 2006-12-12 |
| 1679632095 | Marcia C Budge | Nurse Practitioner | 1217 Avenue M, Huntsville, TX 77340-4607 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1972050946 | Futuristikidz Residential Facility | Clinic/Center | 683 Fm 980rd., Huntsville, TX 77320 | 2016-09-07 |
| 1164976825 | Regenesis | Clinic/Center | 300 Randolph Ave Se, Huntsville, AL 35801-4118 | 2016-08-11 |
| 1972980951 | Southhuntsville Nephrology and Internal Medicine Associates | Clinic/Center | 333 Whitesport Dr Sw Ste 300, Huntsville, AL 35801-3455 | 2015-04-29 |
| 1568535649 | United Cerebral Palsy of Huntsville and Tennessee Valley, Inc. | Clinic/Center | 2075 Max Luther Dr Nw, Huntsville, AL 35810-3859 | 2006-11-16 |
| 1003385279 | Inspirational Counseling LLC | Clinic/Center | 4100 Market St Ste 100, Huntsville, AL 35808-3007 | 2018-11-17 |
| 1063825941 | Healthworks Medical Group of Alabama P C | Clinic/Center | 1 Cottonvalley Dr Nw, Huntsville, AL 35810-6045 | 2014-06-09 |
| 1265765358 | Houston Physicians Medical Association Pllc | Clinic/Center | 112 Medical Park Ln, Huntsville, TX 77340-4971 | 2009-09-08 |
| 1952315681 | The Valley Foundation | Clinic/Center | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2006-07-28 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on UTMB REGIONAL AND MATERNAL CHILD HEALTH PROGRAM.
| 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.