NPIMap

Organization Active NPI

Community Action Corporation of South Texas

  • Federally Qualified Health Center (FQHC)
  • Benavides, TX
National Provider Identifier
1609010131
Registry record updated Jun 30, 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
115 W Main St
Benavides, TX 78341-1004
Phone
(361) 256-3663
Fax
(361) 221-1889
NPI assigned
Apr 28, 2009
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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

115 W Main St
Benavides, TX 78341-1004

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
205219302MedicaidTX

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
O20090914000688 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 Practice locations: Benavides, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1609010131. Details of each certification follow.

Federally qualified health center certification: CCN 671922

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER DUVAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 2, 2009
Last certification
Oct 2, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1971 in TX
Enrollment address
115 W Main St
Community Action Health Center Duval
Benavides, TX 78341-0641

Federally qualified health center certification: CCN 451937

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHAPARRAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 1, 2002
Last certification
Feb 1, 2002
Ownership / control type
For profit – corporation
Facility address
115 West Main Street
Benavides, TX 78341
Related CCNs
451847

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
45D1099510Community Action Corporation of South Texas - 4430115 W Main, Benavides, TX 78341Certificate of waiverMay 14, 2027

National Provider Directory

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

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 17

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 Apr 28, 2016
Enedina Trevino Individual Corporate OfficerBoard Member Mar 28, 2019
Maria Rodriguez Casas Individual Corporate OfficerBoard Member Jun 28, 2012
Lynda J Silvis Individual Corporate OfficerBoard Member Mar 30, 2017
Homero Roblez Individual Corporate OfficerVice Chair Jan 21, 2016
Gwendolyn S Martin Individual Corporate OfficerBoard Member Dec 16, 2021
Nicole Le Galindo Individual Corporate OfficerHealth Center Billing Manager Nov 19, 2021
Mary Jan Jenkins Individual Corporate OfficerChairperson 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 OfficerTreasurer Jul 27, 2017
Frances Campos Garcia Individual Corporate OfficerBoard Member Apr 25, 2019
Madison Soliz Individual Corporate OfficerBoard Member Jun 23, 2023
Victoriano Casas Individual Corporate OfficerSecretary Sep 30, 2010
Ann E Awalt Individual Corporate DirectorExecutive Director Jun 28, 2013
W-2 Managing EmployeeExecutive Director Jun 28, 2013

Practitioners & affiliated clinicians

Practitioners 2

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": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1609010131",
    "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": "115 W MAIN ST",
            "city": "BENAVIDES",
            "state": "TX",
            "postal_code": "783411004",
            "telephone_number": "361-256-3663",
            "fax_number": "361-221-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION CORPORATION OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205219302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benavides, TX

Sources for this page

Verify at the official NPI Registry.