NPIMap

Organization Active NPI

Community Action Corporation of South Texas

Doing business as Community Action Health Center Bee

  • Federally Qualified Health Center (FQHC)
  • Beeville, TX
National Provider Identifier
1629415203
Registry record updated Jun 9, 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
Doing business as
Community Action Health Center Bee
Practice address
301 S Hillside Dr Ste 5
Beeville, TX 78102-5324
Phone
(361) 362-0307
Fax
(361) 492-5521
NPI assigned
May 23, 2013
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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

301 S Hillside Dr Ste 5
Beeville, TX 78102-5324

Mailing address

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

Other practice location 1

301 S Hillside Dr Ste 6
Beeville, TX 78102-5324
Phone (361) 362-0307

Other practice location 2

301 S Hillside Dr Ste 15
Beeville, TX 78102-5324
Phone (361) 362-0307

Other identifiers 1

IdentifierTypeStateIssuer
171353905MedicaidTX

Other names 1

  • Community Action Health Center Bee Doing business as

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
O20080318000554 TX Part A Provider - Federally Qualified Health Center (FQHC) 9032003504 1 other NPI on this enrollment
Practice locations: Beeville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629415203. Details of each certification follow.

Federally qualified health center certification: CCN 671880

Legal name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Doing business as
COMMUNITY ACTION HEALTH CENTER BEE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2008
Last certification
Apr 29, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1970 in TX
Enrollment address
301 S Hillside Dr
Ste 15, 5 6 15
Beeville, TX 78102-5307

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.

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

Locations

301 S Hillside Dr
Ste 5
Beeville, TX 78102
Phone (361) 362-0307

301 S Hillside Dr
Ste 5615
Beeville, TX 78102
Phone (361) 362-0307

301 S Hillside Dr
Ste 6
Beeville, TX 78102
Phone (361) 362-0307

Ownership & related parties

All disclosed owners & managing parties 12

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
Carlos Omar Garcia Individual Corporate OfficerBoard Member Apr 28, 2016
Maria Rodriguez Casas Individual Corporate OfficerBoard Member Oct 28, 2014
Lynda J Silvis Individual Corporate OfficerBoard Member Mar 30, 2017
Homero Roblez Individual Corporate OfficerTreasurer Jan 21, 2016
Amy Koenning Individual Corporate OfficerVice Chairperson Aug 27, 2018
Ludivina Marie Tyran Individual Corporate OfficerBoard Member Mar 30, 2017
Mary Jan Jenkins Individual Corporate OfficerSecretary Sep 29, 2016
Agapito Alaniz Individual Corporate OfficerBoard Member Jul 27, 2017
Victoriano Casas Individual Corporate OfficerChairperson Sep 30, 2010
Angelita H Ibanez Individual Corporate OfficerBoard Member Jan 31, 2013
Ann E Awalt Individual Corporate DirectorExecutive Director Jun 28, 2013
W-2 Managing EmployeeExecutive Director Jun 28, 2013

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1629415203",
    "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": "301 S HILLSIDE DR STE 5",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025324",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Hillside Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025324",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Hillside Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025324",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ACTION CORPORATION OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "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": "171353905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Action Health Center Bee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.