NPIMap

Organization Active NPI

Brazos Valley Community Action Agency Inc.

Doing business as Health Point ABC

  • Federally Qualified Health Center (FQHC)
  • College Station, TX
National Provider Identifier
1275726853
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BRAZOS VALLEY COMMUNITY ACTION AGENCY INC.
Doing business as
Health Point ABC
Practice address
1602 Rock Prairie Rd
Suite 300
College Station, TX 77845-8306
Phone
(979) 693-7400
Fax
(979) 693-7446
NPI assigned
Aug 27, 2007
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BRAZOS VALLEY COMMUNITY ACTION AGENCY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Theresa Sabella, JD, PHD
Title
Ceo
Phone
(979) 383-2348

Specialties & licenses 1

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

Addresses

Primary practice location

1602 Rock Prairie Rd
Suite 300
College Station, TX 77845-8306

Mailing address

1500 University Dr E
Suite 100
College Station, TX 77840-2600
Phone (979) 846-1100

Other identifiers 1

IdentifierTypeStateIssuer
187842301MedicaidTX

Other names 1

  • Health Point ABC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000133 TX Part A Provider - Federally Qualified Health Center (FQHC) 4284542127 Practice locations: College Station, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275726853. Details of each certification follow.

Federally qualified health center certification: CCN 671861

Legal name
BRAZOS VALLEY COMMUNITY ACTION AGENCY INC
Doing business as
HEALTHPOINT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 30, 2007
Last certification
Oct 30, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 17, 1972 in TX
Enrollment address
1602 Rock Prairie Rd 300
College Station, TX 77845-8309

Other NPIs with the same Medicare PAC ID 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Brazos Valley Community19 organizations share this tax ID, including this one
Part of
Brazos Valley Community

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jennifer Mertz Individual Corporate OfficerChief Nursing Officer Jul 15, 2019 12%
Maryann Miyun Choi Individual Corporate OfficerChief Medical Officer Feb 5, 2024 12%
Mike Sutherland Individual Corporate DirectorBoard Member, Board of Directors Aug 12, 2010
Debra Makowsky Individual Corporate OfficerChief Human Resources Officer Oct 17, 2011 12%
William Rios Individual Corporate DirectorBoard Member Jun 1, 2021
Mathew Woods Individual Corporate DirectorBoard Member Jun 1, 2021
Jacqueln Morrow Individual Corporate DirectorBoard Member Jun 1, 2021
Janie O Velasquez Individual Corporate DirectorBoard Member, Board of Directors May 1, 2014
James McCullough Individual Corporate DirectorBoard Member Jun 1, 2012
Tasha de la Torre Individual Corporate DirectorBoard Member Jun 1, 2024
Carolyn Konecny Individual Corporate OfficerChief Financial Officer Aug 19, 2024 15%
Kimberley Usher Individual Corporate DirectorBoard Member Jul 12, 2017
Brian Thurston Individual Corporate OfficerChief Information Officer Feb 1, 2024 12%
Lucina Monarrez Individual Corporate DirectorBoard Member Mar 18, 2026
Mary Wauters Individual Corporate OfficerChief Executive Officer Apr 4, 2022 12%
W-2 Managing Employee Apr 1, 2026
Laquita Clewis Individual Corporate DirectorBoard Member Sep 13, 2017
Yoexys Truxillo Individual Corporate OfficerInterim Chief Operations Officer May 4, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1275726853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-846-1100",
            "fax_number": "979-260-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-693-7400",
            "fax_number": "979-693-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY INC.",
        "enumeration_date": "2007-08-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "SABELLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-383-2348",
        "authorized_official_credential": "JD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187842301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Point ABC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.