NPIMap

Organization Active NPI

Lone Star Community Health Center, Inc.

Doing business as Lone Star Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Conroe, TX
National Provider Identifier
1326045774
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LONE STAR COMMUNITY HEALTH CENTER, INC.
Doing business as
Lone Star Family Health Center
Practice address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone
(936) 539-4004
Fax
(936) 521-3964
NPI assigned
Jun 30, 2005
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Karen Harwell
Title
Chief Executive Officer
Phone
(936) 539-4004

Specialties & licenses 1

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

Addresses

Primary practice location

605 S Conroe Medical Dr
Conroe, TX 77304-4722

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 523-5242

Other identifiers 2

IdentifierTypeStateIssuer
1630386-02MedicaidTX
1630386-04MedicaidTX

Other names 1

  • Lone Star Family Health Center Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040214000224 TX Part A Provider - Federally Qualified Health Center (FQHC) 7416841994 Practice locations: Conroe, TX
O20040318000793 TX Part B Supplier - Clinic/Group Practice 7416841994 Receives reassigned benefits from 38 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Willis, TX; Spring, TX; Huntsville, TX; Conroe, TX; Magnolia, TX
O20200129001496 TX Part A Provider - Federally Qualified Health Center (FQHC) 7416841994 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntsville, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1326045774. Details of each certification follow.

Federally qualified health center certification: CCN 451966

Legal name
LONE STAR COMMUNITY HEALTH CENTER, INC
Doing business as
LONE STAR FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 15, 2004
Last certification
Apr 15, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2002 in TX
Enrollment address
605 S Conroe Medical Dr
Conroe, TX 77304-4722

Federally qualified health center certification: CCN 451100

Legal name
LONE STAR COMMUNITY HEALTH CENTER, INC
Doing business as
LONE STAR FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2020
Last certification
Jan 29, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2002 in TX
Enrollment address
227 State Highway 75 N
Ste 130
Huntsville, TX 77320-3171

Other NPIs with the same Medicare PAC ID 6

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 14

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

NameRoleSinceShare
Alfredo Hassey Individual Corporate DirectorBoard of Director Nov 5, 2015
Corporate DirectorBoard of Director Sep 1, 2010
Lane J Aiena Individual Corporate DirectorBoard of Director Jul 1, 2021
Stephanie Atkins Individual Corporate OfficerSecretary Dec 30, 2022
Corporate DirectorBoard of Director Feb 1, 2022
Anthony Shelton Individual Corporate DirectorBoard of Director Oct 22, 2015
Corporate DirectorBoard of Director Oct 1, 2018
Paola Gorman Individual Corporate DirectorBoard of Director Apr 24, 2024
Ana Stella Individual Corporate DirectorBoard of Director Jan 1, 2023
Denise Cipolla Individual Corporate DirectorBoard of Director Nov 1, 2019
Rodrigo Chaves Individual Corporate DirectorBoard of Director Mar 18, 2004
Corporate DirectorBoard of Director Jan 1, 2013
Heidi Albright Individual W-2 Managing EmployeeChief Operating Officer Apr 8, 2019
Duke Coon Individual Corporate OfficerPresident Nov 1, 2021
Corporate DirectorBoard of Director Jan 11, 2016
Corporate OfficerPresident Nov 1, 2020
Corporate DirectorBoard of Director Jan 1, 2015
Karen Harwell Individual Corporate OfficerVice President Nov 1, 2020
W-2 Managing EmployeeChief Executive Officer Nov 1, 2016
Corporate OfficerVice President Feb 1, 2017
W-2 Managing EmployeeChief Executive Officer Nov 1, 2012
Hector Forestier Individual Corporate DirectorBoard of Director Nov 1, 2018
Phillip Chris Grice Individual Corporate DirectorBoard of Director Aug 1, 2023
Karen Lonon Individual Corporate DirectorBoard of Director Oct 26, 2015
Corporate DirectorBoard of Director May 1, 2014

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 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1326045774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-523-5242",
            "fax_number": "936-539-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004",
            "fax_number": "936-521-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "936-539-4004"
    },
    "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": "1630386-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1630386-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.