Active NPI
Alabama-Coushatta Tribe of Texas
- Clinic/Center
- Livingston, TX
National Provider Identifier
1619069986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ALABAMA-COUSHATTA TRIBE OF TEXAS
- Practice address
- 129 Daycare Rd
Livingston, TX 77351-0061 - Phone
- (936) 563-2058
- Fax
- (936) 563-2731
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111208000081 | TX | Part B Supplier - Clinic/Group Practice | 1658546361 |
Receives reassigned benefits from 10 practitioners Practice locations: Livingston, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sherman, TX
- NPI 1558639047
TX
-
- Dental Hygienist
- Livingston, TX
- NPI 1528940442
-
- Podiatrist
- Round Rock, TX
- NPI 1902004088
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.