NPIMap

Organization Active NPI

Matagorda Episcopal Health Outreach Program Corporation

  • Federally Qualified Health Center (FQHC)
  • Bay City, TX
National Provider Identifier
1003193848
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION
Practice address
111 Avenue F
Bay City, TX 77414-4117
Phone
(979) 245-2008
Fax
(979) 245-2205
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celeste Harrison
Title
Ceo
Phone
(979) 245-2008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

111 Avenue F
Bay City, TX 77414-4117

Mailing address

101 Avenue F N
Bay City, TX 77414-3167
Phone (979) 245-2008

Other identifiers 1

IdentifierTypeStateIssuer
350361701MedicaidTX

Other names 1

  • MEHOP Women and Children Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena.athenahealth.com Health Information Exchange (HIE) Matagorda Episcopal Health Outreach Program

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150715000607 TX Part A Provider - Federally Qualified Health Center (FQHC) 6002853538 1 other NPI on this enrollment
Practice locations: Bay City, TX

Federally qualified health center certification: CCN 741896

Legal name
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION
Doing business as
VIBRANCE HEALTH WOMEN AND CHILDREN CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 15, 2015
Last certification
Jul 15, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
111 Avenue F N
Bay City, TX 77414-3167

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1079937Matagorda Episcopal Health Outreach Program Dba111 Avenue F, Bay City, TX 77414Provider-performed microscopyFeb 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Matagorda Episcopal Health Outreach Program Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17406/brand/2/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tisha Zalman Individual Corporate OfficerCfo Jul 1, 2021
W-2 Managing EmployeeCfo Jul 1, 2021
Nan Harrison Individual Corporate OfficerCeo Jul 13, 2008
W-2 Managing EmployeeCeo Jul 13, 2008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1003193848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008",
            "fax_number": "979-217-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144117",
            "telephone_number": "979-245-2008",
            "fax_number": "979-245-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-245-2008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350361701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Matagorda Episcopal Health Outreach Program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HL7",
            "address_1": "111 Avenue F",
            "city": "Bay City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774144117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MEHOP Women and Children Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEHOP Women and Children Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.