St. Joseph Regional Health Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

000679 Issued in TX

Legal business name

ST. JOSEPH REGIONAL HEALTH CENTER

Practice address

600 Memory Lane
Somerville, TX 77879-0995

Phone

(979) 776-2426

Fax

(979) 776-5948

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rena White

Title

Patient Financial Services Manager

Phone

(979) 776-2426

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Joseph Somerville Family Medicine Clinic Doing business as

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1467510271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S TEXAS AVE STE 202",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025361",
            "telephone_number": "979-776-3777",
            "fax_number": "979-776-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORY LANE",
            "city": "SOMERVILLE",
            "state": "TX",
            "postal_code": "778790995",
            "telephone_number": "979-776-2426",
            "fax_number": "979-776-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "979-776-2426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192459901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063335601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "018213101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Somerville Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Renee Korenek
• Labqueen Diagnostics, LLC
• Laurie Chudej Leer, RPH
• Miquesha Denice Reliford, CPT
• Somerville Independent School District
• Elizabeth Stacy Varley, APRN
• Whistlestop Acres
• William Sherman Whiting IV, FNP

• Rural Health Clinic/Center in Somerville, TX
• Providers in Somerville, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.