NPIMap

Organization Active NPI

Community Health Centers of South Central Texas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gonzales, TX
National Provider Identifier
1285650424
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
Practice address
228 Saint George St
Gonzales, TX 78629-3910
Phone
(830) 672-6511
Fax
(830) 672-3024
NPI assigned
Jul 14, 2006
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Rafael De la Paz
Title
Ceo
Phone
(830) 672-6511

Specialties & licenses 1

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

Addresses

Primary practice location

228 Saint George St
Gonzales, TX 78629-3910

Mailing address

PO Box 1890
Gonzales, TX 78629-1390
Phone (830) 672-6511

Other identifiers 1

IdentifierTypeStateIssuer
00HE62OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040624001546 TX Part B Supplier - Clinic/Group Practice 4688650328 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Victoria, TX; Seguin, TX; Luling, TX; Lockhart, TX; Elgin, TX; Gonzales, TX; Bastrop, TX
O20080429000465 TX Part A Provider - Federally Qualified Health Center (FQHC) 4688650328 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seguin, TX
O20101027001349 TX Part A Provider - Federally Qualified Health Center (FQHC) 4688650328 Practice locations: Gonzales, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1285650424. Details of each certification follow.

Federally qualified health center certification: CCN 671895

Legal name
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 10, 2008
Last certification
Sep 10, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1104 Jefferson Ave
Seguin, TX 78155-5910

Federally qualified health center certification: CCN 451814

Legal name
COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Sep 11, 1998 in TX
Enrollment address
228 Saint George St
Gonzales, TX 78629-3910

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Daniel Kleiner Individual Corporate DirectorBoard Member Sep 10, 2018
Dorothy Eberle Individual Corporate DirectorSecretary Feb 26, 2008
Corporate DirectorSecretary Jan 1, 2010
Lisa Burns Individual Corporate DirectorCommunity Representative Apr 22, 2013
Corporate Director Apr 1, 2013
Rafael Delapaz Individual Corporate OfficerCeo Jan 1, 2019
W-2 Managing EmployeeCeo Oct 5, 2009
Corporate OfficerChief Executive Officer Jan 1, 2019
W-2 Managing Employee Oct 5, 2009
Rosie Flores Individual Corporate DirectorVice President Feb 26, 2008
Corporate DirectorVice President Jan 1, 2010
Charlie Patterson Individual Corporate DirectorPresident Jul 1, 2013
Corporate DirectorPresident Jul 1, 2014
Raziel Delabarreda Individual Corporate OfficerCoo Jul 27, 2017
W-2 Managing EmployeeCoo Oct 1, 2010
Corporate OfficerChief Operating Officer Jul 27, 2017
W-2 Managing Employee Oct 1, 2010
Gary Clack Individual Corporate DirectorCommunity Representative Jan 25, 2022
Phillip Borowitz Individual Corporate DirectorCommunity Representative Feb 26, 2008
Corporate Director Jan 1, 2010
Rhonda Hunnicutt Individual Corporate DirectorCommunity Representative Nov 15, 2022

Practitioners & affiliated clinicians

Practitioners 4

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1285650424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786291390",
            "telephone_number": "830-672-6511",
            "fax_number": "877-540-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SAINT GEORGE ST",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293910",
            "telephone_number": "830-672-6511",
            "fax_number": "830-672-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "DE LA PAZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-672-6511"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00HE62",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, TX

Sources for this page

Verify at the official NPI Registry.