Community Mother and Child Health Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMMUNITY MOTHER AND CHILD HEALTH CENTER

Practice address

510 E Rio Grande St
Victoria, TX 77901-6033

Phone

(361) 570-1083

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Judy Gilley, FNP

Title

Managing Employee

Phone

(361) 570-1082

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1386660744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E RIO GRANDE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016033",
            "telephone_number": "361-570-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E RIO GRANDE ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016033",
            "telephone_number": "361-570-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MOTHER AND CHILD HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "361-570-1082",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801377601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEACTIVATED",
            "identifier": "00929K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braden Coleman, MD
• Debbie A Coltman, LPC
• Comfort Loving Care
• Community Action Committee of Victoria Texas
• Community Health Centers of South Central Texas Inc
• Community Mother and Child Health Center
• Lauren Condra, BOARD CERTIFIED BEH
• Ana Mari Congdon, SLP
• Jacquelyn Rather Connally, PHARMD
• Stuart Mellett Connell, M.D.

• General Practice Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.