BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC (NPI# 1083194138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083194138 |
Entity Type | Organization |
Organization Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC |
Other Organization Name | HEALTHPOINT TRINITY |
Practice Address |
315 Prospect Dr Trinity TX 75862-6202 |
Mailing Address |
1500 University Dr E Ste 100 College Station TX 77840-2600 |
Practice Telephone | 9367441400 |
Practice Fax Number | 9365942418 |
Mailing Telephone | 9793832340 |
Mailing Fax Number | 9792609390 |
Enumeration Date | 2018-08-17 |
Last Update Date | 2018-08-17 |
Authorized Official Name | ERIC TODD (CEO) |
Authorized Official Telephone | 9793832340 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
HealthPoint Trinity | 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 |
1003157223 | Brazos Valley Community Action Agency, Inc | Physician Assistant | 1905 Dove Crossing Ln, #c, Navasota, TX 77868-5272 | 2013-03-13 |
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 |
315 PROSPECT DR |
City | TRINITY |
State | TX |
Zip Code | 75862-6202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548235906 | East Texas Medical Center Trinity | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-21 |
1679877161 | Lawrence Quan M.d.p.a | Family Medicine | 315 Prospect Dr, P.o. 672, Trinity, TX 75862-6202 | 2010-12-27 |
1043469638 | East Texas Medical Center Trinity | General Acute Care Hospital | 315 Prospect Dr, Trinity, TX 75862-6202 | 2008-09-18 |
1922140615 | Amol Sudhakar Deshpande | Pediatrics | 315 Prospect Dr, Trinity, TX 75862-6202 | 2007-02-12 |
1023112299 | David Alan Price | Physician Assistant | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-09-11 |
1144252800 | Lawrence Quan | Family Medicine | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215426473 | Linda Darnell Shaw | Licensed Vocational Nurse | 139 Pineland Dr, Trinity, TX 75862 | 2018-05-03 |
1942668280 | Elizabeth Jane Wilhite | Nurse Practitioner | 303 S Robb Street, Trinity, TX 75862 | 2016-02-01 |
1124428842 | Martin Senior Citizens Center, Inc. | In Home Supportive Care | 400 Walker Street, Trinity, TX 75862 | 2014-08-29 |
1649679135 | Nkechinyere Onwumere | Family Medicine | 714 South Robb Street, Trinty, TX 75862 | 2014-08-20 |
1023454329 | Abby L Warren-curtis | Dietitian, Registered | 312 Glendale Cem. Rd., Trinity, TX 75862 | 2013-05-14 |
1467787648 | East Texas Medical Center Trinity | Internal Medicine | 317 Prospect Drive, Trinity, TX 75862 | 2009-10-06 |
1821222837 | Stability Solutions, LLC | Prosthetic/Orthotic Supplier | 108 S. Robb, Suite #4, Trinity, TX 75862 | 2009-05-05 |
1669590220 | Cora A Armelin | Occupational Therapist | 103 Eva St, Trinity, TX 75862 | 2007-03-26 |
1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
1871116715 | Sunhee Kim | Pharmacist | 507 S Robb St Ste B, Trinity, TX 75862 | 2020-05-27 |
Find all providers in zip 75862 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
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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.