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STEPHEN F AUSTIN COMMUNITY HEALTH CENTER INC NPI 1417414343


NPI Information

NPI: 1417414343
Provider Name: STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC

Doing Business As: BRAZORIA COUNTY DREAM CENTER INTEGRATED HEALTH CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2165655

Address:
792 S. HIGHWAY 288 B
CLUTE, TX
ZIP 77531
Phone: (281) 824-1480
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STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Clute, TX. STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC NPI is 1417414343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brazoria County Dream Center Integrated Health Clinic.

The provider's business location address is:

792 S. HIGHWAY 288 B
CLUTE, TX
ZIP 77531-712
Phone: (281) 824-1480

The provider's authorized official is Brandy Smith .
The authorized official title is Credentialing Mgr. and has the following contact phone number (281) 824-1480.

The CLIA number assigned to this NPI record is 45D2165655 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 3/26/2024.


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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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.