NPIMap

Organization Active NPI

Stephen F. Austin Community Health Center, Inc.

Doing business as Adoue Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
National Provider Identifier
1578730818
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC.
Doing business as
Adoue Family Health Center
Practice address
1111 W. Adoue Street
Alvin, TX 77511
Phone
(281) 824-1480
Fax
(281) 220-6407
NPI assigned
May 15, 2008
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Mr. Mark David Young
Title
Chief Executive Officer
Phone
(281) 824-1480

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X
Clinical Medical Laboratory 291U00000X
Case Management Registered Nurse 163WC0400X
Obstetrics & Gynecology Physician 207V00000X
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
Body Imaging Physician 2085B0100X
Medical Laboratory Technician 246RM2200X
Behavior Analyst 103K00000X
Peer Specialist 175T00000X

Addresses

Primary practice location

1111 W. Adoue Street
Alvin, TX 77511

Mailing address

1111 W. Adoue Street
Alvin, TX 77511
Phone (281) 824-1480

Other practice location 1

905 W Medical Center Blvd Ste 306
Webster, TX 77598-4009
Phone (281) 824-1480

Other practice location 2

2552 Broadway St Ste 102
Pearland, TX 77581-4904
Phone (281) 824-1480

Other practice location 3

905 W Medical Center Blvd Ste 304
Webster, TX 77598-4009
Phone (281) 824-1480

Other practice location 4

14100 Southwest Fwy Fl 5
Sugar Land, TX 77478-3466
Phone (281) 824-1480

Other practice location 5

9430 Broadway St Ste 120
Pearland, TX 77584-8075
Phone (281) 824-1480

Other practice location 6

10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737
Phone (281) 824-1480

Other practice location 7

7790 W Grand Pkwy S
Richmond, TX 77406-5830
Phone (281) 824-1480

Other practice location 8

1601 Liberty St Ste A
Richmond, TX 77469-3252
Phone (281) 824-1480

Other practice location 9

2360 Gulf Fwy S Ste 100C
League City, TX 77573-6448
Phone (281) 824-1480

Other names 1

  • Adoue Family Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100113000886 TX Part B Supplier - Clinic/Group Practice 6204977127 Receives reassigned benefits from 184 practitioners
Practice locations: Alvin, TX
O20100115000249 TX Part A Provider - Federally Qualified Health Center (FQHC) 6204977127 Practice locations: Alvin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578730818. Details of each certification follow.

Federally qualified health center certification: CCN 671934

Legal name
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 19, 2010
Last certification
Feb 19, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 27, 2008 in TX
Enrollment address
1111 W Adoue St
Alvin, TX 77511-2718

Other NPIs with the same Medicare PAC ID 14

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

View all 14

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Mark Young Individual Corporate OfficerCeo Apr 1, 2010 100%
W-2 Managing EmployeeCeo May 30, 2013 100%
John Tompkins Individual Corporate DirectorBoard Member May 8, 2012 100%
Joe Gardzina Individual Corporate Director Nov 24, 2009
Subrina Barnes Individual Corporate DirectorBoard Member Sep 11, 2012 100%
Gary Goff Individual Corporate Director Nov 24, 2009
W-2 Managing Employee Nov 24, 2009
Jody Thomas Individual Corporate Director Nov 24, 2009
W-2 Managing Employee Nov 24, 2009
Stephen F Austin Community Health Center, Inc. Organization, Alvin, TX Operational/Managerial Control Nov 24, 2009
Bonnie Horton Individual Corporate DirectorBoard Member Apr 8, 2008 100%
Gerald Roznovsky Individual Corporate DirectorBoard Member, Secretary Apr 8, 2008 100%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Mychn CallawayAlvin, TX, CCN 741976 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2017
Women and Children's Health CenterAlvin, TX, CCN 451000 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 3, 2016
Pearland Family Health CenterPearland, TX, CCN 451039 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 9, 2018
Mychn WebsterWebster, TX, CCN 971091 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 16, 2017

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 189

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 189

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1578730818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W. ADOUE STREET",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W. ADOUE STREET",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 W Medical Center Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984009",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2552 Broadway St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814904",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 W Medical Center Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984009",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 Southwest Fwy Fl 5",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783466",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9430 Broadway St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775848075",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10851 Scarsdale Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895737",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7790 W Grand Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774065830",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Liberty St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693252",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Gulf Fwy S Ste 100C",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736448",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "281-824-1480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoue Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.