NPIMap

Organization Active NPI

Community Action Corporation of South Texas

  • Federally Qualified Health Center (FQHC)
  • Falfurrias, TX
National Provider Identifier
1184868663
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Practice address
1302 S St Marys St Ste Abd
Falfurrias, TX 78355-5034
Phone
(361) 325-9404
Fax
(361) 221-1728
NPI assigned
Apr 28, 2009
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Ann Elizabeth Awalt
Title
Executive Director
Phone
(361) 664-0145

Specialties & licenses 1

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

Addresses

Primary practice location

1302 S St Marys St Ste Abd
Falfurrias, TX 78355-5034

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other names 1

  • community action corporation of south texas Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040615001126 TX Part B Supplier - Clinic/Group Practice 9032003504 Receives reassigned benefits from 33 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sinton, TX; Mathis, TX; Kingsville, TX; Falfurrias, TX; Alice, TX; Benavides, TX; Beeville, TX
O20090914000692 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 Practice locations: Falfurrias, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184868663. Details of each certification follow.

Federally qualified health center certification: CCN 671924

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER FALFURRIAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 2, 2009
Last certification
Oct 2, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
1302 S St Marys St
Suites a B D
Falfurrias, TX 78355-5034

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1099511Community Action Corporation of South Texas - 44241302 S St Marys, Falfurrias, TX 78355Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1302 S St Marys St
Ste Abd
Falfurrias, TX 78355
Phone (361) 325-9404

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Estefina Gonzalez Garza Individual Corporate OfficerBoard Member Jan 31, 2019
Carlos Omar Garcia Individual Corporate OfficerBoard Member Apr 28, 2016
Enedina Trevino Individual Corporate OfficerBoard Member Mar 28, 2019
Maria Rodriguez Casas Individual Corporate OfficerBoard Member Oct 28, 2014
Lynda J Silvis Individual Corporate OfficerBoard Member Mar 30, 2017
Homero Roblez Individual Corporate OfficerVice Chair Jan 21, 2016
Victor Gomez Individual Corporate OfficerBoard Member Oct 28, 2021
Javuer Alan Garcia Individual Corporate OfficerBoard Member Jan 27, 2022
Mary Jan Jenkins Individual Corporate OfficerChairperson Sep 29, 2016
Jose Pereida Individual Corporate OfficerBoard Member Jan 27, 2022
Frances Campos Garcia Individual Corporate OfficerBoard Member Jan 31, 2019
Victoriano Casas Individual Corporate OfficerSecretary Sep 30, 2010
Ann E Awalt Individual Corporate DirectorExecutive Director Jun 28, 2013
W-2 Managing EmployeeExecutive Director Jun 28, 2013

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1184868663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S ST MARYS ST STE ABD",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783555034",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION CORPORATION OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "AWALT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "361-664-0145"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "community action corporation of south texas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Falfurrias, TX

Sources for this page

Verify at the official NPI Registry.