ATASCOSA HEALTH CENTER, INC. (NPI# 1336491083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336491083 |
| Entity Type | Organization |
| Organization Name | ATASCOSA HEALTH CENTER, INC. |
| Other Organization Name | LIVE OAK COMMUNITY HEALTH CENTER |
| Practice Address |
105 E. Thornton Three Rivers TX 78071 |
| Mailing Address |
310 W Oaklawn Rd Pleasanton TX 78064-4033 |
| Practice Telephone | 3617863618 |
| Practice Fax Number | 3617863649 |
| Mailing Telephone | 8305698940 |
| Mailing Fax Number | 8305698320 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | MONTY SMALL (CEO) |
| Authorized Official Telephone | 8305698940 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | ATASCOSA 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 |
| Other Name | Type Code |
|---|---|
| Live Oak Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240816 | Atascosa Health Center, Inc. | Clinic/Center | 757 S Panna Maria Ave, Karnes City, TX 78118-3808 | 2020-03-12 |
| 1164899472 | Atascosa Health Center, Inc. | Clinic/Center | 203 Hackberry St., Tilden, TX 78072 | 2015-08-24 |
| 1508390360 | Atascosa Health Center, Inc. | Clinic/Center | 8555 N State Highway 16, Poteet, TX 78065-4034 | 2017-04-18 |
| 1003359209 | Atascosa Health Center, Inc. | Clinic/Center | 19010 Preist Blvd, Lytle, TX 78052-3486 | 2016-11-21 |
| 1235504291 | Atascosa Health Center, Inc. | Pharmacy | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2015-12-02 |
| 1962600106 | Atascosa Health Center, Inc. | Clinic/Center | 302 N Butler St, Karnes City, TX 78118-2801 | 2007-07-10 |
| 1750364998 | Atascosa Health Center, Inc. | Clinic/Center | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2005-11-22 |
| Street Address |
105 E. THORNTON |
| City | THREE RIVERS |
| State | TX |
| Zip Code | 78071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290685 | Lynn Lea Bullard | Nurse Practitioner | Fci Three Rivers, Federal Bureau of Prison, Three Rivers, TX 78071 | 2013-04-05 |
| 1558673640 | Soliz Physical Therapy Pllc | Physical Therapist | 305 West Thornton Street, Three Rivers, TX 78071 | 2010-07-06 |
| 1447445804 | Live Oak County | Case Management | 102 N Harborth Ave, Three Rivers, TX 78071 | 2007-09-10 |
| 1518170125 | Cary A Pruski | Dentist | 200 Thornton St, Three Rivers, TX 78071 | 2007-05-08 |
| 1407980535 | Dusty D Soliz | Physical Therapist | 305 W Thornton St, Three Rivers, TX 78071 | 2007-03-14 |
| 1821170002 | Three Rivers Pharmacy, LLC | Pharmacy | 101 W. Thornton, Three Rivers, TX 78071 | 2006-10-19 |
| 1740258417 | Jourdanton Hospital Corporation | Clinic/Center | 105 E Thornton St, Three Rivers, TX 78071 | 2006-03-09 |
| 1124099007 | Wayne Oliver Ghans | Family Medicine | 105 E Thornton, Three Rivers, TX 78071 | 2006-01-30 |
| 1083092803 | Premier Home Health Solutions Inc | Home Health | 649 E 12 Mile Rd, Madison Heights, MI 78071 | 2015-05-13 |
| 1649532029 | Holly Christine Rainer | Nurse Practitioner | 105 E Thornton, Three Rivers, TX 78071 | 2012-06-12 |
| Find all providers in zip 78071 | ||||
| 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 |
|---|---|---|---|---|
| 1558454256 | Family Healthcare Network | Clinic/Center | 41651 Sierra Dr Ste A, Three Rivers, CA 93271-9678 | 2006-10-02 |
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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 |
| 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 | ||||
| City | THREE RIVERS |
| Zip Code | 78071 |
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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.