NPIMap

Organization Active NPI

Fort Bend Family Health Center, Inc.

Doing business as AccessHealth

  • Federally Qualified Health Center (FQHC)
  • Missouri City, TX
National Provider Identifier
1558061812
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FORT BEND FAMILY HEALTH CENTER, INC.
Doing business as
AccessHealth
Practice address
1135 Highway 90 a
Missouri City, TX 77489-1229
Phone
(281) 342-4530
NPI assigned
Mar 6, 2023
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Alexandra Charlton
Title
Senior Director of Operations
Phone
(832) 600-6183

Specialties & licenses 1

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

Addresses

Primary practice location

1135 Highway 90 a
Missouri City, TX 77489-1229

Mailing address

400 Austin St
Richmond, TX 77469-4498
Phone (281) 342-4530

Other names 1

  • AccessHealth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628000323 TX Part A Provider - Federally Qualified Health Center (FQHC) 7113999780 Practice locations: Missouri City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558061812. Details of each certification follow.

Federally qualified health center certification: CCN 671090

Legal name
FORT BEND FAMILY HEALTH CENTER INC
Doing business as
ACCESSHEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2023
Last certification
Jun 12, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Dec 5, 1988 in TX
Enrollment address
1135 Highway 90 a
Missouri City, TX 77489-1229

Other NPIs with the same Medicare PAC ID 6

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

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
45D2181389Fort Bend Family Health Center Inc Dba1135 Highway 90 a, Missouri City, TX 77489Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ft Bend Family HLTH Ctr Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1135 Highway 90 a
Missouri City, TX 77489
Phone (281) 342-4530

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Alexandra Nicole Doty Individual Corporate DirectorSenior Director of Operations Nov 28, 2016
W-2 Managing Employee Nov 28, 2016
Jalisa Randle Individual W-2 Managing EmployeeProgram Manager Nov 17, 2014

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Accesshealth - BrookshireBrookshire, TX, CCN 741922 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2016

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1558061812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694498",
            "telephone_number": "281-342-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 HIGHWAY 90 A",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891229",
            "telephone_number": "281-342-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-600-6183"
    },
    "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": "AccessHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.