NPIMap

Organization Active NPI

Houston Community Health Centers Inc

Doing business as Denver Harbor Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1093780280
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOUSTON COMMUNITY HEALTH CENTERS INC
Doing business as
Denver Harbor Medical Clinic
Practice address
424B Hahlo Street
Houston, TX 77020
Phone
(713) 674-3326
Fax
(713) 674-5100
NPI assigned
Feb 21, 2006
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Mr. Daniel Moises Montez
Title
Ceo
Phone
(713) 674-3326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

424B Hahlo Street
Houston, TX 77020

Mailing address

424 Hahlo St
Houston, TX 77020-3022
Phone (713) 674-3326

Other names 1

  • Denver Harbor Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040623000562 TX Part B Supplier - Clinic/Group Practice 8224940028 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Houston, TX
O20060208000726 TX Part A Provider - Federally Qualified Health Center (FQHC) 8224940028 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093780280. Details of each certification follow.

Federally qualified health center certification: CCN 671834

Legal name
HOUSTON COMMUNITY HEALTH CENTERS, INC.
Doing business as
DENVER HARBOR MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 17, 2006
Last certification
Feb 17, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 7, 1999 in TX
Enrollment address
424 Hahlo St
Houston, TX 77020-3022

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Houston Comm HLTH CTRS Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

10044 Wallisville Rd
Houston, TX 77013
Phone (713) 671-3800

215 Rittenhouse St
Houston, TX 77076
Phone (713) 742-0947

424 Hahlo St
#B
Houston, TX 77020
Phone (713) 674-3326

5808 Airline Dr
Houston, TX 77076
Phone (713) 695-4013

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Page Robinson Individual Corporate DirectorBoard Member Nov 14, 2017
Brian C Reed Individual Corporate DirectorBoard Member Oct 25, 2016
Daniel Montez Individual Corporate OfficerChief Executive Officer Jan 1, 2001
W-2 Managing EmployeeChief Executive Officer Jun 27, 2019
Pamela Hellstrom Individual Corporate DirectorBoard Member Jul 10, 2015
Diane Merrill Individual Corporate DirectorBoard Member Jul 11, 2018
Linda Kulhanek Individual Corporate DirectorChairman of the Board of Directo Sep 22, 2015
James Webster Individual Corporate DirectorBoard Member Mar 16, 2018
Charles Rosson Individual Corporate DirectorBoard Member Oct 25, 2016
John Van Slyke Individual Corporate DirectorTreasurer of the Board of Direct Jun 27, 2019
Raymond Pantoja Individual Corporate DirectorBoard Member Oct 25, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McReynolds Middle SchoolHouston, TX, CCN 741887 Federally qualified health center Operational/Managerial Control (100%) Aug 19, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1093780280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HAHLO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770203022",
            "telephone_number": "713-674-3326",
            "fax_number": "713-674-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424B HAHLO STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77020",
            "telephone_number": "713-674-3326",
            "fax_number": "713-674-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MONTEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MOISES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-674-3326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Harbor Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.