NPIMap

Organization Active NPI

Stephen F Austin Community Health Center, Inc.

Doing business as Women and Children's Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
National Provider Identifier
1306395132
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
Doing business as
Women and Children's Health Center
Practice address
218 E House St
Alvin, TX 77511-3544
Phone
(281) 824-1480
Fax
(281) 220-6407
NPI assigned
Sep 21, 2016
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mr. Mark Young
Title
Ceo
Phone
(281) 824-1480

Specialties & licenses 1

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

Addresses

Primary practice location

218 E House St
Alvin, TX 77511-3544

Mailing address

218 E House St
Alvin, TX 77511-3544
Phone (281) 824-1480

Other names 1

  • Women and Children's Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180312001896 TX Part A Provider - Federally Qualified Health Center (FQHC) 6204977127 Practice locations: Alvin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306395132. Details of each certification follow.

Federally qualified health center certification: CCN 451000

Legal name
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
Doing business as
WOMEN AND CHILDREN'S HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 13, 2018
Last certification
Mar 13, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 12, 2008 in TX
Enrollment address
218 E House St
Alvin, TX 77511-3544

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
CHN Pharmacy28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

218 E House St
Alvin, TX 77511
Phone (281) 585-2530

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Mark Young Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2010 100%
5% Or Greater Indirect Ownership InterestCeo Apr 1, 2010 100%
Corporate OfficerCeo Apr 1, 2010 100%
Corporate DirectorCeo Apr 1, 2010 100%
Yvette M Poindexter Individual OtherCmo Apr 2, 2010
John Tompkins Individual Corporate DirectorBoard Member May 8, 2012 100%
Subrina Barnes Individual Corporate DirectorBoard Member Sep 11, 2012 100%
Stephen F Austin Community Health Center, Inc. Organization, Alvin, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 3, 2016 100%
Bonnie Horton Individual Corporate DirectorBoard Member Apr 8, 2008 100%
Gerald Roznovsky Individual Corporate DirectorBoard Member Apr 8, 2008 100%
Linh Tran Individual W-2 Managing Employee Jan 1, 2010

Owners & managing parties with NPI records 15

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

View all 15

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stephen F Austin Community Health Center, Inc.Alvin, TX, CCN 671934 Federally qualified health center Operational/Managerial Control Nov 24, 2009
Mychn CallawayAlvin, TX, CCN 741976 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2017
Pearland Family Health CenterPearland, TX, CCN 451039 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 9, 2018
Mychn WebsterWebster, TX, CCN 971091 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 16, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1306395132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E HOUSE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113544",
            "telephone_number": "281-824-1480",
            "fax_number": "877-489-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E HOUSE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113544",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-824-1480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women and Children's Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women and Children's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.