COMMUNITY ACTION CORPORATION OF SOUTH TEXAS NPI 1063529642

NPI Information

NPI: 1063529642
Provider Name: COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Doing Business As: COMMUNITY ACTION HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
700 FLOURNOY RD STE 2A
ALICE, TX
ZIP 78332
Phone: (361) 664-1417
Get Directions

COMMUNITY ACTION CORPORATION OF SOUTH TEXAS is a federally qualified health center (fqhc) clinic center in Alice, TX. COMMUNITY ACTION CORPORATION OF SOUTH TEXAS NPI is 1063529642. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Action Health Center.

The provider's business location address is:

700 FLOURNOY RD STE 2A
ALICE, TX
ZIP 78332-088
Phone: (361) 664-1417
Fax: (361) 384-4368

The provider's authorized official is Ann E Awalt .
The authorized official title is Executive Director and has the following contact phone number (361) 664-0145.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		2-5347	TEXAS	No
2	1223G0001X	Dentist	General Practice	16588	TEXAS	No
3	207Q00000X	Family Medicine		L5201	TEXAS	No
4	207V00000X	Obstetrics & Gynecology				No
5	208000000X	Pediatrics		E5193	TEXAS	No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
7	363A00000X	Physician Assistant		PA02621	TEXAS	No
8	363L00000X	Nurse Practitioner		251321	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	171353903	MEDICAID	TEXAS
2	171353905	MEDICAID	TEXAS
3	171353904	MEDICAID	TEXAS
4	084609901	MEDICAID	TEXAS
5	171353901	MEDICAID	TEXAS
6	190685101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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