LEGACY COMMUNITY HEALTH SERVICES, INC (NPI# 1235482878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235482878 |
| Entity Type | Organization |
| Organization Name | LEGACY COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
4450 Highland Ave Beaumont TX 77705-5205 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 4092422525 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | KATHERINE CALDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8325485000 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
| 1063922441 | Legacy Community Health Services, Inc | Clinic/Center | 5598 North Fwy Ste A1, Houston, TX 77076-4702 | 2017-10-11 |
| 1295251650 | Legacy Community Health Services, Inc | Pharmacy | 1415 California St Ste 110, Houston, TX 77006-2602 | 2017-08-17 |
| 1407213085 | Legacy Community Health Services, Inc | Clinic/Center | 5515 South Loop East, Houston, TX 77033-1603 | 2016-01-27 |
| 1063750669 | Legacy Community Health Services, Inc | Clinic/Center | 2965 Harrison St Ste 320, Beaumont, TX 77702-1150 | 2013-01-17 |
| 1871846964 | Legacy Community Health Services, Inc | Clinic/Center | 8430 Westglen Dr, Houston, TX 77063-6312 | 2012-10-26 |
| 1093068348 | Legacy Community Health Services, Inc | Clinic/Center | 11000 Scott St, Houston, TX 77047-1500 | 2012-10-24 |
| 1578816815 | Legacy Community Health Services, Inc | Clinic/Center | 8440 Westpark Dr, Houston, TX 77063-5808 | 2012-10-24 |
| Street Address |
4450 HIGHLAND AVE |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77705-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536740 | Kimberlie J Gonzalez | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2005-05-27 |
| 1366812000 | Rachel Adams | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2015-10-06 |
| 1447671987 | Rose Brooks Lorenzen | Counselor | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2013-12-31 |
| 1598037608 | Cynthia Renee Roland | Obstetrics & Gynecology | 4450 Highland Ave, Beaumont, TX 77705 | 2012-02-04 |
| 1932483526 | Gaurav Puri Pa | Dentist | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2011-10-01 |
| 1508173170 | Charukesi Chandrasekaran | Psychiatry & Neurology | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2010-09-02 |
| 1689801730 | Harry Jae Doyle | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-06-16 |
| 1093957417 | Rhonda S Dixon | Registered Nurse | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2009-03-31 |
| 1225190416 | Lois E Muhammad | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705 | 2006-12-14 |
| 1447361175 | Kimberly Lynn King | Nurse Practitioner | 4450 Highland Ave, Beaumont, TX 77705 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431390 | Iris Fiaui | Specialist/Technologist | 4400 Mlk Jr Pkwy, Beaumont, TX 77705 | 2019-11-08 |
| 1437644937 | Kolten Elizabeth Adams | Specialist/Technologist | 4400 S Mlk Jr Parkway, Beaumont, TX 77705 | 2018-06-27 |
| 1326443391 | Scott Forbes | Psychologist | 6200 Knauth Rd, Beaumont, TX 77705 | 2014-11-03 |
| 1518367622 | Dennis Agricola | Nurse Practitioner | 6200 Knauth Road, Beaumont, TX 77705 | 2014-08-26 |
| 1639591480 | Chs Texas Medical, P.a. | General Practice | 11357 Highway 10 Sw, Smith Rd, Beaumont, TX 77705 | 2014-01-14 |
| 1649523309 | Tri-medical Emergency Medical Services Lp | Ambulance | 4610 St. Louis St, Beaumont, TX 77705 | 2012-10-18 |
| 1437462785 | Cynthia Ksiazek | Social Worker | 857 E Virginia, Beaumont, TX 77705 | 2010-07-15 |
| 1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
| 1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
| 1891994612 | Jennifer Lien Truong | Occupational Therapist | 4205 Grandberry, Beaumont, TX 77705 | 2007-07-12 |
| Find all providers in zip 77705 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063750669 | Legacy Community Health Services, Inc | Clinic/Center | 2965 Harrison St Ste 320, Beaumont, TX 77702-1150 | 2013-01-17 |
| 1467700112 | Legacy Dundas Clinic(no Longer In Service) | Clinic/Center | 810 Hospital Dr Ste 300, Beaumont, TX 77701-4635 | 2012-08-28 |
| 1003852203 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 1300 Beaumont Brooklyn Rd, Beaumont, MS 39423-2233 | 2006-06-22 |
| 1831166826 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 1411 Bradley Ave, Beaumont, MS 39423-0000 | 2006-03-08 |
| 1932694122 | Legacy Community Health Services, Inc | Clinic/Center | 3455 Stagg Dr, Beaumont, TX 77701-4521 | 2018-06-29 |
| 1154796829 | Legacy Community Health Services, Inc. | Clinic/Center | 450 N 11th St, Beaumont, TX 77702-1804 | 2015-12-07 |
| 1508261561 | Legacy Community Health Services, Inc | Clinic/Center | 2830 Calder St, Beaumont, TX 77702-1809 | 2014-11-03 |
| 1184029969 | Legacy Community Health Services, Inc | Clinic/Center | 450 N 11th St, Beaumont, TX 77702-1804 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
| 1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| 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.