Organization Active NPI

St. Joseph Regional Health Center

  • Rural Health Clinic/Center
  • Centerville, TX
National Provider Identifier
1255414744
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
41 Issued in TX
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

Updated by the provider on Mar 13, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R04534439MedicaidTX

Other names 1

  • St. Joseph Powell Memorial Family Health Center Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.