Active NPI
Alvin Community Health Endeavor
- Federally Qualified Health Center (FQHC)
- Alvin, TX
National Provider Identifier
1144234501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ALVIN COMMUNITY HEALTH ENDEAVOR
- Practice address
- 416 S Johnson St
Alvin, TX 77511-2747 - Phone
- (281) 331-2888
- Fax
- (281) 331-2889
- NPI assigned
- Jul 28, 2006
- Last updated
- Jan 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Willis Benefield, CEO
- Title
- Chief Executive Officer
- Phone
- (281) 331-2888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
416 S Johnson St
Alvin, TX 77511-2747
Mailing address
416 S Johnson St
Alvin, TX 77511-2747
Phone (281) 331-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1687022-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
416 S Johnson St
Alvin, TX 77511
Phone (281) 331-0490
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Primary Care Clinic/Center
- Pearland, TX
- NPI 1902098924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232409600000",
"number": "1144234501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 S JOHNSON ST",
"city": "ALVIN",
"state": "TX",
"postal_code": "775112747",
"telephone_number": "281-331-2888",
"fax_number": "281-331-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 S JOHNSON ST",
"city": "ALVIN",
"state": "TX",
"postal_code": "775112747",
"telephone_number": "281-331-2888",
"fax_number": "281-331-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALVIN COMMUNITY HEALTH ENDEAVOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2009-01-20",
"status": "A",
"authorized_official_last_name": "BENEFIELD",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "WILLIS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "281-331-2888",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1687022-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.