NPIMap

Organization Active NPI

Alabama-Coushatta Tribe of Texas

Doing business as Chief Kina Health Clinic

  • Clinic/Center
  • Livingston, TX
National Provider Identifier
1619069986
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALABAMA-COUSHATTA TRIBE OF TEXAS
Doing business as
Chief Kina Health Clinic
Practice address
129 Daycare Rd
Livingston, TX 77351-0061
Phone
(936) 563-2058
Fax
(936) 563-2731
NPI assigned
Sep 28, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Paula Alec
Title
Intern Health Director
Phone
(936) 563-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

129 Daycare Rd
Livingston, TX 77351-0061

Mailing address

129 Daycare Rd
Livingston, TX 77351-0061
Phone (936) 563-2058

Other names 1

  • Chief Kina Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000081 TX Part B Supplier - Clinic/Group Practice 1658546361 Receives reassigned benefits from 10 practitioners
Practice locations: Livingston, TX

National Provider Directory

National Provider Directory

Locations

129 Daycare Rd
Livingston, TX 77351
Phone (936) 563-1500

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1619069986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 DAYCARE RD",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510061",
            "telephone_number": "936-563-2058",
            "fax_number": "936-563-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 DAYCARE RD",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510061",
            "telephone_number": "936-563-2058",
            "fax_number": "936-563-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA-COUSHATTA TRIBE OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ALEC",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "INTERN HEALTH DIRECTOR",
        "authorized_official_telephone_number": "936-563-1525"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chief Kina Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.