BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC (NPI# 1003157223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003157223 |
Entity Type | Organization |
Organization Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC |
Other Organization Name | GRIMES COUNTY COMMUNITY HEALTH CENTER |
Practice Address |
1905 Dove Crossing Ln #c Navasota TX 77868-5272 |
Mailing Address |
1500 University Dr E Suite 100 College Station TX 77840-2600 |
Practice Telephone | 9368250000 |
Practice Fax Number | 9368258001 |
Mailing Telephone | 9798461100 |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-04-08 |
Authorized Official Name | KAREN GARBER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9798461100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08203 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
GRIMES COUNTY COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184192064 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 624 Mary Lake Dr, Bryan, TX 77801-3423 | 2018-11-08 |
1083194138 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2018-08-17 |
1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
Street Address |
1905 DOVE CROSSING LN #C |
City | NAVASOTA |
State | TX |
Zip Code | 77868-5272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073696894 | Allen Therapies Inc | Physical Therapist | 1905 Dove Crossing Ln, Ste A & B, Navasota, TX 77868-5272 | 2006-10-23 |
1629402672 | Jenna L Elliott | Physical Therapist | 1905 Dove Crossing Ln, Suite Ab, Navasota, TX 77868-5272 | 2013-08-27 |
1578907630 | Chasareth Edwonne Thompson | Physician Assistant | 1905 Dove Crossing Ln, Suite #c, Navasota, TX 77868-5272 | 2013-04-19 |
1073817078 | Britney Ann Friesenhahn | Physician Assistant | 1905 Dove Crossing Ln, Suite C, Navasota, TX 77868-5272 | 2011-01-05 |
1184764235 | Pam L Johnson | Specialist | 1905 Dove Crossing Ln, #c, Navasota, TX 77868-5272 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588216311 | Asa Pharmacy LLC | Pharmacy | 419 N. Lasalle St., Navasota, TX 77868 | 2019-07-11 |
1487190559 | Moriah White | Physician Assistant | 3552 County Road 325, Navasota, TX 77868 | 2017-01-13 |
1245619550 | Smith & Williams Community Healthcare LLC | In Home Supportive Care | 303 3rd St., Navasota, TX 77868 | 2015-05-20 |
1790186930 | Navasota Dental, PC | Dentist | 415 North Lasalle Street, Suite 1a, Navasota, TX 77868 | 2014-09-08 |
1821308297 | Kimberly Givens | Occupational Therapy Assistant | 1405 E Washington, Navasota, TX 77868 | 2010-10-19 |
1023237237 | Ernest Dick Butler | Dentist | 116 Ivy, Navasota, TX 77868 | 2007-04-25 |
1639267800 | John Ingram Walker | Psychiatry & Neurology | 1225 Leake St, Navasota, TX 77868 | 2006-10-11 |
1245325760 | House of Stars | Home Health | 1105 West Washington Ave., Navasota, TX 77868 | 2006-10-03 |
1336248657 | Brookshire Brothers Inc | Pharmacy | 309 N Lasalle, Navasota, TX 77868 | 2006-09-22 |
1538100763 | Sulik Sheridan Navasota Inc. | Skilled Nursing Facility | 2100 Dove Crossing Lane, Navasota, TX 77868 | 2006-06-09 |
Find all providers in zip 77868 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578907630 | Chasareth Edwonne Thompson | Physician Assistant | 1905 Dove Crossing Ln, Suite #c, Navasota, TX 77868-5272 | 2013-04-19 |
1073817078 | Britney Ann Friesenhahn | Physician Assistant | 1905 Dove Crossing Ln, Suite C, Navasota, TX 77868-5272 | 2011-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
Find all providers with the same taxonomy |
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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.