NPIMap

Organization Active NPI

Matagorda Episcopal Health Outreach Program

Doing business as MEHOP Health Services Wharton

  • Federally Qualified Health Center (FQHC)
  • Wharton, TX
National Provider Identifier
1639667645
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Doing business as
MEHOP Health Services Wharton
Practice address
10119 US 59 Hwy
Wharton, TX 77488-7224
Phone
(979) 245-2008
Fax
(979) 217-8829
NPI assigned
Apr 25, 2018
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Tisha Zalman, CFO
Title
Cfo
Phone
(979) 245-2008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Counselor 101YM0800X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

10119 US 59 Hwy
Wharton, TX 77488-7224

Mailing address

101 Avenue F N
Bay City, TX 77414-3167
Phone (979) 245-2008

Other identifiers 1

IdentifierTypeStateIssuer
394541201MedicaidTX

Other names 1

  • MEHOP Health Services Wharton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181026001958 TX Part A Provider - Federally Qualified Health Center (FQHC) 6002853538 Practice locations: Wharton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639667645. Details of each certification follow.

Federally qualified health center certification: CCN 451025

Legal name
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM CORPORATION
Doing business as
VIBRANCE HEALTH HEALTH SERVICES WHARTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 24, 2018
Last certification
Oct 24, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 5, 2003 in TX
Enrollment address
10119 US 59 Hwy
Wharton, TX 77488-7224

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Matagorda Episcopal Health Outreach Program Corporation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tisha Zalman Individual Corporate OfficerCfo Jul 1, 2021
W-2 Managing EmployeeCfo Jul 1, 2021
Nan Harrison Individual Corporate OfficerCeo Jul 1, 2008
W-2 Managing EmployeeCeo Jul 1, 2008

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1639667645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008",
            "fax_number": "979-217-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 US 59 HWY",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887224",
            "telephone_number": "979-245-2008",
            "fax_number": "979-217-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ZALMAN",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "979-245-2008",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394541201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEHOP Health Services Wharton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEHOP Health Services Wharton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

Verify at the official NPI Registry.