LONE STAR COMMUNITY HEALTH CENTER, INC. (NPI# 1326045774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326045774 |
| Entity Type | Organization |
| Organization Name | LONE STAR COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | LONE STAR FAMILY HEALTH CENTER |
| Practice Address |
605 S Conroe Medical Dr Conroe TX 77304-4722 |
| Practice Telephone | 9365394004 |
| Mailing Telephone | 9365235242 |
| Mailing Fax Number | 9365393635 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | KAREN HARWELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9365394004 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONE STAR COMMUNITY HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1630386-01 | 05 | |
| TX | 1630386-03 | 05 | |
| TX | 3305716-01 | 05 | |
| TX | 3778540-01 | 05 | |
| TX | 1630386-04 | 05 | |
| TX | 3526378-01 | 05 | |
| TX | 1630386-02 | 05 |
| Other Name | Type Code |
|---|---|
| Lone Star Family Health Center | Doing Business As Name - Organization |
| Lone Star Family Health Center - Conroe | Other Name - Individual/Organization |
| Lone Star Family Health Center - FQHC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 227 State Highway 75 N Ste 130, Huntsville, TX 773203171 | 9365394004 | |
| 13905 Grangerland Rd, Conroe, TX 773067809 | 9365394004 | |
| 440 Rayford Rd Ste 150, Spring, TX 773864169 | 9365394004 | |
| 9516 Fm 1097 Rd W Ste 140, Willis, TX 773184976 | 9365394004 | |
| 227 State Highway 75 N, Suite 130, Huntsville, TX 77320 | 9365394004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1902442056 | Lone Star Community Health Center, Inc. | Clinic/Center | 227 Sh 75n Ste. 130, Huntsville, TX 77320 | 2019-11-25 |
| 1679096358 | Lone Star Community Health Center, Inc. | Clinic/Center | 13905 Grangerland Rd, Conroe, TX 77306-7809 | 2017-07-25 |
| 1013380708 | Lone Star Community Health Center, Inc. | Clinic/Center | 9516 Fm 1097 Rd W Ste 140, Willis, TX 77318-4976 | 2015-11-04 |
| 1790115103 | Lone Star Community Health Center, Inc. | Clinic/Center | 440 Rayford Rd Ste 150, Spring, TX 77386-4169 | 2013-11-21 |
| 1225170194 | Lone Star Community Health Center, Inc. | Family Medicine | 28120 Tomball Parkway, Tomball, TX 77375-6420 | 2007-02-13 |
| 1568590610 | Lone Star Community Health Center, Inc. | Obstetrics & Gynecology | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2007-03-01 |
| 1982703815 | Lone Star Community Health Center, Inc. | Pharmacy | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2006-09-21 |
| Street Address |
605 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1396365631 | Brian Thomas Benjamin | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1013536457 | Rushab Harshadkumar Patel | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1124647573 | William Patrick Mcdonough | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
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| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
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| 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 |
|---|---|---|---|---|
| 1679096358 | Lone Star Community Health Center, Inc. | Clinic/Center | 13905 Grangerland Rd, Conroe, TX 77306-7809 | 2017-07-25 |
| 1194032698 | Lone Star Community Health Center, Inc | Clinic/Center | 506 Medical Center Blvd, Conroe, TX 77304 | 2010-09-03 |
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| 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 |
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| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
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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.