Organization Active NPI

Freedom Community Medical Clinic

  • Community Health Clinic/Center
  • Houston, TX
National Provider Identifier
1033830518
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
FREEDOM COMMUNITY MEDICAL CLINIC
Practice address
3826 S Dairy Ashford Rd
Houston, TX 77082-5600
Phone
(281) 741-2165
Fax
(281) 741-2437
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Oyesanmi Fredrick Alonge
Title
Senior Pastor/President
Phone
(919) 394-0291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

3826 S Dairy Ashford Rd
Houston, TX 77082-5600

Mailing address

3888 S Dairy Ashford Rd Ste F
Houston, TX 77082-5609

National Provider Directory

National Provider Directory

Locations

3826 S Dairy Ashford Rd
Houston, TX 77082
Phone (281) 741-2165

3888 S Dairy Ashford Rd
#F
Houston, TX 77082

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25151/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1033830518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 S DAIRY ASHFORD RD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 S DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825600",
            "telephone_number": "281-741-2165",
            "fax_number": "281-741-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM COMMUNITY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "ALONGE",
        "authorized_official_first_name": "OYESANMI",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "SENIOR PASTOR/PRESIDENT",
        "authorized_official_telephone_number": "919-394-0291"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.