Organization Active NPI

Department of State Health Services

Doing business as Texas DSHS - HSR 7 Temple

  • State or Local Public Health Clinic/Center
  • Temple, TX
National Provider Identifier
1639245764
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
DEPARTMENT OF STATE HEALTH SERVICES
Doing business as
Texas DSHS - HSR 7 Temple
Practice address
2408 S 37TH St
Attn Billing Office
Temple, TX 76504-7168
Phone
(254) 778-6744
Fax
(254) 778-6819
NPI assigned
Nov 28, 2006
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Thomas Betz
Title
Deputy Regional Director
Phone
(254) 778-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X TX Primary

Addresses

Primary practice location

2408 S 37TH St
Attn Billing Office
Temple, TX 76504-7168

Mailing address

1100 W 49TH St
HSR 7 - Temple
Austin, TX 78756-3101
Phone (512) 458-7111

Other identifiers 9

IdentifierTypeStateIssuer
134758503MedicaidTX
136129704MedicaidTX
136368105MedicaidTX
136480406MedicaidTX
135248605MedicaidTX
138359803MedicaidTX
138359802MedicaidTX
133560605MedicaidTX
136130503MedicaidTX

Other names 1

  • Texas DSHS - HSR 7 Temple Doing business as

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
45D0674090Department of State Health Services Public2408 S 37TH Street, Temple, TX 76504Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1100 W 49th St
#7
Austin, TX 78756

2408 S 37th St
Ofc
Temple, TX 76504
Phone (254) 778-6744

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1639245764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 49TH ST",
            "address_2": "HSR 7 - TEMPLE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563101",
            "telephone_number": "512-458-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S 37TH ST",
            "address_2": "ATTN BILLING OFFICE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047168",
            "telephone_number": "254-778-6744",
            "fax_number": "254-778-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DEPUTY REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "254-778-6744"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134758503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136129704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136368105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136480406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135248605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138359803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138359802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133560605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136130503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas DSHS - HSR 7 Temple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.