NPIMap

Organization Active NPI

Community Action Corporation of South Texas

  • Federally Qualified Health Center (FQHC)
  • Kingsville, TX
National Provider Identifier
1437980372
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Practice address
1210 N Retama St
Kingsville, TX 78363-3496
Phone
(361) 239-0600
Fax
(877) 550-1895
NPI assigned
Aug 12, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Ann Elizabeth Awalt
Title
Executive Director
Phone
(361) 664-0145

Specialties & licenses 1

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

Addresses

Primary practice location

1210 N Retama St
Kingsville, TX 78363-3496

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040615001126 TX Part B Supplier - Clinic/Group Practice 9032003504 Receives reassigned benefits from 33 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sinton, TX; Mathis, TX; Kingsville, TX; Falfurrias, TX; Alice, TX; Benavides, TX; Beeville, TX
O20250407000505 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 Practice locations: Kingsville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437980372. Details of each certification follow.

Federally qualified health center certification: CCN 971056

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 3, 2025
Last certification
Apr 3, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
1210 N Retama St
Kingsville, TX 78363-3496

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2307578Community Action Corporation of South Texas - 44121210 N Retama, Kingsville, TX 78363Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Community Action Corporation of South Texas16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1210 N Retama St
Kingsville, TX 78363
Phone (361) 239-0600

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Estefina Gonzalez Garza Individual Corporate OfficerBoard Member Jan 31, 2019
Cristina Rosales Soliz Individual Corporate OfficerBoard Member May 30, 2019
Carlos Omar Garcia Individual Corporate OfficerBoard Member Aug 21, 1970
Enedina Trevino Individual Corporate OfficerBoard Member Mar 28, 2019
Lynda J Silvis Individual Corporate OfficerBoard Member Mar 30, 2017
Homero Roblez Individual Corporate OfficerBoard Member Jan 21, 2016
Gwendolyn S Martin Individual Corporate OfficerBoard Member Dec 16, 2021
Nicole Le Galindo Individual Operational/Managerial ControlBilling Manager Nov 22, 2014
Mary Jan Jenkins Individual Corporate OfficerSecretary Sep 29, 2016
Jose Pereida Individual Corporate OfficerBoard Member Jan 27, 2022
Rachel Joslin Individual Corporate OfficerBoard Member Dec 19, 2022
Agapito Alaniz Individual Corporate OfficerVice Chair Nov 4, 2018
Frances Campos Garcia Individual Corporate OfficerBoard Member Apr 25, 2019
Madison Soliz Individual Corporate OfficerBoard Member Jun 22, 2023
Victoriano Casas Individual Corporate OfficerBoard Member Sep 30, 2010
Ann E Awalt Individual Corporate DirectorExecutive Director Feb 1, 2013
W-2 Managing EmployeeExecutive Director Feb 1, 2013

Practitioners & affiliated clinicians

Practitioners 12

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1437980372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N RETAMA ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783633496",
            "telephone_number": "361-239-0600",
            "fax_number": "877-550-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION CORPORATION OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "AWALT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "361-664-0145"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.