Brazos Valley Community Action Agency, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Bryan, TX
NPI 1104533728 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1104533728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
- Practice address
- 804 S Texas Ave
Bryan, TX 77803-3946 - Phone
- (979) 596-5828
- Fax
- (979) 731-4570
- NPI assigned
- Nov 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Theresa Sabella
- Title
- Ceo
- Phone
- (979) 383-2348
Other NPIs on the same Medicare enrollment 14
Practitioners 7
-
Michele Armstrong, WHNP
-
Kara Ann Bell, LCSW
-
Chanseya A Davis, MD
-
Donna Ohde, FNP-C
-
Lawrence Quan, MD
-
Ashley Shanise Richardson, MSN, APRN, FNP-C
-
Yolanda Sahagun, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040708001095 | TX | Part B Supplier - Clinic/Group Practice | 4284542127 |
Receives reassigned benefits from 61 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Trinity, TX; Rockdale, TX; Navasota, TX; Madisonville, TX; Hempstead, TX; Hearne, TX; College Station, TX; Centerville, TX… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
804 S Texas Ave
Bryan, TX 77803-3946
Mailing address
1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 383-2340
Other names
- HealthPoint
- HealthPoint MHMR
Other providers in Bryan, TX
- Brazos Valley Cardiology
- Brazos Valley Center for Independent Living
- Brazos Valley Colorectal Surgery, PLLC
- Brazos Valley Community Action Agency Inc
- Brazos Valley Community Action Agency, Inc
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Programs
- Brazos Valley Council on Alcohol & Substance Abuse
- Brazos Valley Endocrinology PA
All providers in Bryan, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.