NPIMap

Organization Active NPI

Brazos Valley Community Action Agency, Inc.

Doing business as HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Bryan, TX
National Provider Identifier
1104533728
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
Doing business as
HealthPoint
Practice address
804 S Texas Ave
Bryan, TX 77803-3946
Phone
(979) 596-5828
Fax
(979) 731-4570
NPI assigned
Nov 2, 2022
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Theresa Sabella
Title
Ceo
Phone
(979) 383-2348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 2

  • HealthPoint Doing business as
  • HealthPoint MHMR Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory

Locations

804 S Texas Ave
Bryan, TX 77803
Phone (979) 361-9851

Practitioners & affiliated clinicians

Practitioners 7

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1104533728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-383-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033946",
            "telephone_number": "979-596-5828",
            "fax_number": "979-731-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "SABELLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-383-2348"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPoint MHMR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.