NPIMap

Organization Active NPI

Community Action Corporation of South Texas

Doing business as Community Action Health Center

  • Federally Qualified Health Center (FQHC)
  • Alice, TX
National Provider Identifier
1063529642
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
Community Action Health Center
Practice address
700 Flournoy Rd Ste 2a
Alice, TX 78332-4088
Phone
(361) 664-1417
Fax
(361) 384-4368
NPI assigned
Aug 23, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Ann Elizabeth Awalt
Title
Executive Director
Phone
(361) 664-0145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

700 Flournoy Rd Ste 2a
Alice, TX 78332-4088

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other identifiers 1

IdentifierTypeStateIssuer
171353901MedicaidTX

Other names 1

  • COMMUNITY ACTION HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040615001126 TX Part B Supplier - Clinic/Group Practice 9032003504 Receives reassigned benefits from 33 practitioners
9 other NPIs on this enrollment
Practice locations: Sinton, TX; Mathis, TX; Kingsville, TX; Falfurrias, TX; Alice, TX; Benavides, TX; Beeville, TX
O20070102000485 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kingsville, TX
O20080318000554 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beeville, TX
O20080318000560 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mathis, TX
O20101112001072 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sinton, TX
O20101112001186 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 Practice locations: Alice, TX

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1063529642. Details of each certification follow.

Federally qualified health center certification: CCN 671846

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER KINGSVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2007
Last certification
Jan 29, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
1311 General Cavazos Blvd
Suites 303, C
Kingsville, TX 78363-7150

Federally qualified health center certification: CCN 671880

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER BEE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2008
Last certification
Apr 29, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
301 S Hillside Dr
Ste 15, 5 6 15
Beeville, TX 78102-5307

Federally qualified health center certification: CCN 671879

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2008
Last certification
Apr 29, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1971 in TX
Enrollment address
213 S Duval St
Mathis, TX 78368-2613

Federally qualified health center certification: CCN 451978

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER-SINTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 3, 2004
Last certification
Aug 3, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
621 E Sinton Street
Sinton, TX 78387-2801

Federally qualified health center certification: CCN 451977

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 3, 2004
Last certification
Aug 3, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1971 in TX
Enrollment address
700 Flournoy Rd
Ste 2a
Alice, TX 78332-4088

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 9

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
45D0856662Community Action Corporation of South Texas -4401700 Flournoy Road Suite 2a, Alice, TX 78332Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Estefina Gonzalez Garza Individual Corporate OfficerBoard Member Jan 31, 2019
OtherBoard Member Jan 31, 2019
Carlos Omar Garcia Individual Corporate OfficerBoard Member Apr 28, 2016
OtherPublic Official Apr 28, 2016
Corporate OfficerBoard Member Apr 2, 2013
Enedina Trevino Individual Corporate OfficerBoard Member Mar 28, 2019
OtherBoard Member Mar 28, 2019
Maria Rodriguez Casas Individual Corporate OfficerBoard Member Jun 28, 2012
Corporate OfficerBoard Member Oct 28, 2014
OtherBoard Member Oct 28, 2014
Corporate OfficerBoard Member Nov 30, 2006
Lynda J Silvis Individual Corporate OfficerBoard Member Mar 30, 2017
OtherBoard Member Mar 30, 2017
Homero Roblez Individual Corporate OfficerTreasure Jan 21, 2016
Corporate OfficerTreasurer Jan 21, 2016
OtherTreasurer Jan 21, 2016
Corporate OfficerVice Chair Jan 21, 2016
Victor Gomez Individual Corporate OfficerBoard Member Oct 28, 2021
Javuer Alan Garcia Individual Corporate OfficerBoard Member Jan 27, 2022
Mary Jan Jenkins Individual Corporate OfficerVice Chair Sep 29, 2016
Corporate OfficerSecretary Sep 29, 2016
OtherVice Chair Sep 29, 2016
Corporate OfficerChairperson Sep 29, 2016
Jose Pereida Individual Corporate OfficerBoard Member Jan 27, 2022
Frances Campos Garcia Individual Corporate OfficerBoard Member Apr 25, 2019
OtherBoard Member Apr 25, 2019
Victoriano Casas Individual Corporate OfficerChairperson Sep 30, 2010
Corporate OfficerSecretary Sep 30, 2010
Ann E Awalt Individual Corporate OfficerExecutive Director Jun 28, 2013
W-2 Managing EmployeeExecutive Director Jun 13, 2013
Corporate DirectorExecutive Director Jun 28, 2013
W-2 Managing EmployeeExecutive Director Jun 28, 2013
Amy Koenning Individual Corporate OfficerVice Chairperson Aug 27, 2018
Ludivina Marie Tyran Individual Corporate OfficerBoard Member Mar 30, 2017
Agapito Alaniz Individual Corporate OfficerBoard Member Jul 27, 2017
OtherPublic Official Jul 27, 2017
Angelita H Ibanez Individual Corporate OfficerBoard Member Jan 31, 2013
Cristina Rosales Soliz Individual OtherBoard Member May 30, 2019
Corporate OfficerBoard Member May 30, 2019

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1063529642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD STE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324088",
            "telephone_number": "361-664-1417",
            "fax_number": "361-384-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION CORPORATION OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "AWALT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "361-664-0145"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171353901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY ACTION HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.