MT. ENTERPRISE COMMUNITY HEALTH CLINIC (NPI# 1952342149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952342149 |
| Entity Type | Organization |
| Organization Name | MT. ENTERPRISE COMMUNITY HEALTH CLINIC |
| Practice Address |
106 West Rusk Mount Enterprise TX 75681 |
| Mailing Address |
Po Box 489 Mt Enterprise TX 75681-0489 |
| Practice Telephone | 9038223076 |
| Practice Fax Number | 9038223079 |
| Mailing Telephone | 9038223076 |
| Mailing Fax Number | 9038223079 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MR. KENNETH A WHITE (CEO) |
| Authorized Official Telephone | 9038223076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412354 | Mt. Enterprise Community Health Clinic | Clinic/Center | 1115 Highway 259 South, Henderson, TX 75654 | 2009-03-26 |
| 1043741275 | Mt. Enterprise Community Health Clinic | Clinic/Center | 4002 S Loop 256 Ste K, Palestine, TX 75801-8402 | 2017-03-21 |
| Street Address |
106 WEST RUSK |
| City | MOUNT ENTERPRISE |
| State | TX |
| Zip Code | 75681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386853562 | Cherryl Lynn Rowell | Nurse Practitioner | 106 West Rusk Street, Mount Enterprise, TX 75681-0489 | 2007-05-22 |
| 1538772272 | Carolyn Hight | Licensed Vocational Nurse | 12569 Fm 95 S, Mount Enterprise, TX 75681-3230 | 2020-08-24 |
| 1932339207 | Mount Enterprise I, LLC | Assisted Living Facility | 300 E Rusk St, Mount Enterprise, TX 75681-4035 | 2009-07-21 |
| 1598852808 | Patrice Levon Nickerson | Licensed Vocational Nurse | 14915 County Road 3191 S, Mt Enterprise, TX 75681-4099 | 2006-10-06 |
| 1265054472 | Tytanara Williams | Licensed Vocational Nurse | 569 County Road 3210, Mt Enterprise, TX 75681-4125 | 2020-05-11 |
| 1104383835 | Christopher Smith | Occupational Therapy Assistant | 1714 Fm 2496 W, Mt Enterprise, TX 75681-5035 | 2019-02-28 |
| 1063022630 | Latoya Laashly Anderson | Licensed Vocational Nurse | 5036 County Road 3185 E, Mount Enterprise, TX 75681-6019 | 2020-08-07 |
| 1972736858 | Lisa Macdowell Rogers | Social Worker | 23099 County Road 3197 S, Mt Enterprise, TX 75681-6432 | 2009-08-26 |
| 1710997127 | William Luther Sheehan | Urology | 1737 County Road 3271 W, Mount Enterprise, TX 75681-6835 | 2006-08-08 |
| 1912135260 | Mt. Enterprise Isd | Local Education Agency (LEA) | 301 Nw 3rd St, Mt Enterprise, TX 75681-7406 | 2009-06-25 |
| Find all providers in zip 75681 | ||||
| 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 |
|---|---|---|---|---|
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| 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 | ||||
| City | MOUNT ENTERPRISE |
| Zip Code | 75681 |
Please comment or provide details below to improve the information on MT. ENTERPRISE COMMUNITY HEALTH CLINIC.
| 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.