NPIMap

Organization Active NPI

Gulf Coast Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
National Provider Identifier
1285354746
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GULF COAST HEALTH CENTER, INC.
Practice address
3501 SGT Lucien Adams Blvd
Port Arthur, TX 77642-6461
Phone
(409) 983-1161
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Marsha Thigpen, MDNPI 1518047000
Title
Executive Director
Phone
(409) 983-1161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3501 SGT Lucien Adams Blvd
Port Arthur, TX 77642-6461

Mailing address

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

Other practice location 1

1100 Jefferson Dr
Port Arthur, TX 77642-0638
Phone (409) 983-1161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsolis@gulfcoasthc.org Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111002041 TX Part A Provider - Federally Qualified Health Center (FQHC) 5597675215 Practice locations: Port Arthur, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285354746. Details of each certification follow.

Federally qualified health center certification: CCN 971004

Legal name
GULF COAST HEALTH CENTER INC
Doing business as
GULF COAST HEALTH CENTER-MEMORIAL HIGH SCHOOL SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 11, 2023
Last certification
Jan 11, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
May 18, 1989 in TX
Enrollment address
3501 SGT Lucien Adams Blvd
Port Arthur, TX 77642-6461

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Port Arthur Community H7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

3501 Sgt Lucien Adams Blvd
Port Arthur, TX 77642

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Phyllis Charles Individual Corporate Director Mar 1, 2009
Yadira Cardenas Individual Corporate Officer Jan 1, 2010
Gulf Coast Health Center Inc Organization, Port Arthur, TX Other Aug 18, 2022 100%
Sheila Norwood Individual Corporate Director Jan 1, 2010
Marsha E Thigpen Individual Corporate Director Jul 13, 2012
W-2 Managing Employee Jul 13, 2012

Owners & managing parties with NPI records 8

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

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": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1285354746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161",
            "fax_number": "409-209-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SGT LUCIEN ADAMS BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426461",
            "telephone_number": "409-983-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776420638",
            "country_code": "US",
            "telephone_number": "409-983-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "THIGPEN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-983-1161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsolis@gulfcoasthc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3501 Sgt Lucien Adams Blvd",
            "city": "Port Arthur",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776426461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.