Active NPI
St. Joseph Regional Health Center
- Rural Health Clinic/Center
- Centerville, TX
National Provider Identifier
1255414744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 41
- Legal business name
- ST. JOSEPH REGIONAL HEALTH CENTER
- Practice address
- 102 West Main St.
Centerville, TX 75833 - Phone
- (903) 536-2313
- Fax
- (903) 536-2207
- NPI assigned
- Oct 20, 2006
- 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
- Mrs. Rena White
- Title
- Patient Financial Services Manager
- Phone
- (979) 776-2426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 41 | TX | Primary |
Addresses
Primary practice location
102 West Main St.
Centerville, TX 75833
Mailing address
2800 S Texas Ave Ste 202
Bryan, TX 77802-5361
Phone (362) 663-5139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R04534439 | Medicaid | TX |
Other names 1
- St. Joseph Powell Memorial Family Health Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2800 S Texas Ave
Ste 202
Bryan, TX 77802
Phone (979) 774-2060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1255414744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S TEXAS AVE STE 202",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025361",
"telephone_number": "362-663-5139",
"fax_number": "936-266-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WEST MAIN ST.",
"city": "CENTERVILLE",
"state": "TX",
"postal_code": "75833",
"telephone_number": "903-536-2313",
"fax_number": "903-536-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH REGIONAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "RENA",
"authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES MANAGER",
"authorized_official_telephone_number": "979-776-2426",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "TX",
"license": "41",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R04534439",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Joseph Powell Memorial Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.