BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. (NPI# 1497183883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497183883 |
| Entity Type | Organization |
| Organization Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. |
| Other Organization Name | ST. JOSEPH HEALTH POINT BRYAN |
| Practice Address |
1301 Memorial Dr Bryan TX 77802-5205 |
| Mailing Address |
1500 University Dr E Suite 100 College Station TX 77840-2600 |
| Practice Telephone | 9797314520 |
| Practice Fax Number | 9797314570 |
| Mailing Telephone | 9798461100 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MR. ERIC TODD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9793832340 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, 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 |
|---|---|
| ST. JOSEPH HEALTH POINT BRYAN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841562451 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 808 W. Hwy 79, Franklin, TX 77856-1728 | 2012-01-30 |
| 1427331651 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 17202 State Highway 36 S., Somerville, TX 77879-4157 | 2011-09-23 |
| 1275620551 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1002 W Brown St, Hearne, TX 77859-3063 | 2006-10-06 |
| 1821185299 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1500 University Dr E, #100, College Station, TX 77840-2600 | 2006-10-06 |
| 1649265646 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2005-09-15 |
| 1881244978 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1701 Pecos Ave, Rockdale, TX 76567-2570 | 2019-09-19 |
| 1649689274 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 215 Fm 1488 Road, Hempstead, TX 77445 | 2014-08-07 |
| 1871916981 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 302 W Highway 21, Caldwell, TX 77836-1122 | 2014-01-24 |
| 1912268426 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 2700 E 29th St, 300, Bryan, TX 77802-2531 | 2012-05-31 |
| 1245598622 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 100 W Cross St, Madisonville, TX 77864-2432 | 2012-04-24 |
| Street Address |
1301 MEMORIAL DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003915604 | Robert B Hash | Family Medicine | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2006-09-21 |
| 1386298016 | Dalila Aldrich | Counselor | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2019-07-31 |
| 1699161273 | Surya Jacob | Pediatrics | 1301 Memorial Dr, Bryan, TX 77802 | 2015-04-10 |
| 1164858767 | Brenda Kay Clarke | Nurse Practitioner | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2013-09-16 |
| 1174851208 | Tomas Garza | Family Medicine | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2009-12-01 |
| 1316190754 | Deepti A Govathoti | Family Medicine | 1301 Memorial Dr, #200, Bryan, TX 77802-5205 | 2008-10-29 |
| 1457504003 | Nanette Reyes Dacumos | Family Medicine | 1301 Memorial Dr, Ste200, Bryan, TX 77802-5205 | 2008-10-28 |
| 1851565360 | Nemat Matthew Dadfar | Emergency Medicine | 1301 Memorial Dr, Suite # 200, Bryan, TX 77802-5205 | 2008-04-15 |
| 1699836700 | Belinda D Yarbrough | Nurse Practitioner | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| 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 |
|---|---|---|---|---|
| 1649265646 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2005-09-15 |
| 1811460496 | Health Partners of Western Ohio | Clinic/Center | 228 S Main St, Bryan, OH 43506-1755 | 2019-01-07 |
| 1184192064 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 624 Mary Lake Dr, Bryan, TX 77801-3423 | 2018-11-08 |
| 1790020733 | Health Partners of Western Ohio | Clinic/Center | 228 S Main St, Bryan, OH 43506-1755 | 2012-12-03 |
| 1912268426 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 2700 E 29th St, 300, Bryan, TX 77802-2531 | 2012-05-31 |
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| 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.