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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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, 2009
- 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
- Thomas Betz
- Title
- Deputy Regional Director
- Phone
- (254) 778-6744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134758503 | Medicaid | TX | |
| 136129704 | Medicaid | TX | |
| 136368105 | Medicaid | TX | |
| 136480406 | Medicaid | TX | |
| 135248605 | Medicaid | TX | |
| 138359803 | Medicaid | TX | |
| 138359802 | Medicaid | TX | |
| 133560605 | Medicaid | TX | |
| 136130503 | Medicaid | TX |
Other names 1
- Texas DSHS - HSR 7 Temple
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0674090 | Department of State Health Services Public | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.