BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. (NPI# 1649265646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649265646 |
Entity Type | Organization |
Organization Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. |
Other Organization Name | BRYAN-COLLEGE STATION COMMUNITY HEALTH CENTER |
Practice Address |
3370 S Texas Ave Suite B Bryan TX 77802-3127 |
Mailing Address |
1500 University Dr E #100 College Station TX 77840-2600 |
Practice Telephone | 9795951700 |
Practice Fax Number | 9795951740 |
Mailing Telephone | 9798461100 |
Mailing Fax Number | 9792609390 |
Enumeration Date | 2005-09-15 |
Last Update Date | 2011-07-01 |
Authorized Official Name | KAREN M GARBER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9798461100 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 154467801 | 05 | |
TX | 000951604 | 05 |
Other Name | Type Code |
---|---|
Bryan-College Station Community Health Center | 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 |
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 |
1497183883 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2013-10-22 |
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 |
3370 S TEXAS AVE SUITE B |
City | BRYAN |
State | TX |
Zip Code | 77802-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437501210 | Yolanda Sahagun | Nurse Practitioner | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2016-07-06 |
1720442189 | Shelley White-corey | Nurse Practitioner | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2016-04-11 |
1902161987 | Daniel F Brossart | Psychologist | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2012-07-06 |
1386832095 | Deborah Awoniyi-obrimah | Nurse Practitioner | 3370 S Texas Ave, Suite G, Bryan, TX 77802-3127 | 2007-10-09 |
1942342688 | Donna M. Hilbig | Counselor | 3370 S Texas Ave, #b, Bryan, TX 77802 | 2007-02-12 |
1154475473 | Sonia Lee Turnbow | Nurse Practitioner | 3370 S Texas Ave, Suite G, Bryan, TX 77802-3127 | 2007-01-23 |
1487707923 | Brazos Maternal and Child Health Clinic, Inc. | Voluntary or Charitable | 3370 S Texas Ave, Ste G, Bryan, TX 77802-3127 | 2007-01-19 |
1912056730 | Brazos Valley Community Action Agency Inc | Pharmacy | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2007-01-10 |
1952486276 | Judy Jean Smith | Nurse Practitioner | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2006-10-26 |
1710093216 | Susan Nell Rogers | Nurse Practitioner | 3370 S Texas Ave, #b, Bryan, TX 77802-3127 | 2006-08-21 |
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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 |
---|---|---|---|---|
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 |
1497183883 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1301 Memorial Dr, Bryan, TX 77802-5205 | 2013-10-22 |
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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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 |
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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.