Provider Type Icon

HEALTH CENTER OF SOUTHEAST TEXAS NPI 1346472537


NPI Information

NPI: 1346472537
Provider Name: HEALTH CENTER OF SOUTHEAST TEXAS

Doing Business As: HEALTH CENTER OF SOUTHEAST TEXAS - SHEPHERD

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
11 WOODLAND PARK DR
SHEPHERD, TX
ZIP 77371
Phone: (936) 628-1100
Get Directions

HEALTH CENTER OF SOUTHEAST TEXAS is a federally qualified health center (fqhc) clinic center in Shepherd, TX. HEALTH CENTER OF SOUTHEAST TEXAS NPI is 1346472537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Center Of Southeast Texas - Shepherd.

The provider's business location address is:

11 WOODLAND PARK DR
SHEPHERD, TX
ZIP 77371-495
Phone: (936) 628-1100
Fax: (936) 628-1199

The provider's authorized official is Steven Racciato .
The authorized official title is Executive Director and has the following contact phone number (281) 592-2224.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 6/21/2023.


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
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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 Other Provider Identifier Issuer
1179566803MEDICAIDTEXAS
20044NHOTHERTEXASBLUE CROSS/SHIELD GROUP NUMBER
3179566802MEDICAIDTEXAS
4179566801MEDICAIDTEXAS
500W245OTHERTEXASMEDICARE GROUP NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.