Organization Active NPI

Alvin Community Health Endeavor

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
National Provider Identifier
1144234501
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1687022-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.