LEGACY COMMUNITY HEALTH SERVICES INC NPI 1407516677

NPI Information

  • NPI: 1407516677
  • Provider Name: LEGACY COMMUNITY HEALTH SERVICES, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 45D2223196
  • Address: 12540 SUGARDALE DR
    STAFFORD, TX
    ZIP 77477
  • Phone: (832) 548-5000

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NPI Details

LEGACY COMMUNITY HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Stafford, TX. LEGACY COMMUNITY HEALTH SERVICES, INC NPI is 1407516677. The provider is registered as an organization entity type.

The provider's business location address is:

12540 SUGARDALE DR
STAFFORD, TX
ZIP 77477-702
Phone: (832) 548-5000
Fax: (713) 559-3001

The provider's authorized official is Robert Peter Palussek .
The authorized official title is Coo and has the following contact phone number (832) 548-5000.

The CLIA number assigned to this NPI record is 45D2223196 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2021 and was last updated on 1/8/2025.

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
1261QF0400XClinic/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: 3/30/2025

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