NPIMap

Organization Active NPI

Lone Star Community Health Center, Inc.

Doing business as Lone Star Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Conroe, TX
National Provider Identifier
1679096358
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LONE STAR COMMUNITY HEALTH CENTER, INC.
Doing business as
Lone Star Family Health Center
Practice address
13905 Grangerland Rd
Conroe, TX 77306-7809
Phone
(936) 539-4004
Fax
(936) 539-5997
NPI assigned
Jul 25, 2017
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LONE STAR COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Karen Harwell
Title
Chief Executive Officer
Phone
(936) 539-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

13905 Grangerland Rd
Conroe, TX 77306-7809

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722

Other identifiers 1

IdentifierTypeStateIssuer
3778540-01MedicaidTX

Other names 2

  • Lone Star Family Health Center Doing business as
  • Lone Star Family Health Center - Grangerland Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170809000054 TX Part A Provider - Federally Qualified Health Center (FQHC) 7416841994 Practice locations: Conroe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679096358. Details of each certification follow.

Federally qualified health center certification: CCN 741981

Legal name
LONE STAR COMMUNITY HEALTH CENTER, INC
Doing business as
LONE STAR FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 22, 2018
Last certification
Feb 22, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2002 in TX
Enrollment address
13905 Grangerland Rd
Conroe, TX 77306-7809

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Lone Star Community Health Center7 organizations share this tax ID, including this one
Part of
Lone Star Community Health Center

Other organizations with this tax ID 6

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

Locations

13905 Grangerland Rd
Conroe, TX 77306

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Alfredo Hassey Individual Corporate DirectorBoard of Director Feb 1, 2017
Lane J Aiena Individual Corporate DirectorBoard of Director Jul 1, 2021
Stephanie Atkins Individual Corporate OfficerSecretary Dec 30, 2022
Corporate DirectorBoard of Director Feb 1, 2022
Anthony Shelton Individual Corporate DirectorBoard of Director Sep 27, 2012
Paola Gorman Individual Corporate DirectorBoard of Director Apr 24, 2024
Ana Stella Individual Corporate DirectorBoard of Director Jan 1, 2023
Denise Cipolla Individual Corporate DirectorBoard of Director Nov 1, 2019
Rodrigo Chaves Individual Corporate DirectorBoard of Director Feb 24, 2004
Heidi Albright Individual W-2 Managing EmployeeChief Operating Officer Apr 8, 2019
Duke Coon Individual Corporate OfficerPresident Nov 1, 2020
Corporate DirectorBoard of Director Jan 1, 2015
Karen Harwell Individual Corporate OfficerVice President Feb 1, 2017
W-2 Managing EmployeeChief Executive Officer Nov 5, 2012
Hector Forestier Individual Corporate DirectorBoard of Director Nov 1, 2018
Phillip Chris Grice Individual Corporate DirectorBoard of Director Aug 1, 2023
Karen Lonon Individual Corporate DirectorBoard of Director Apr 24, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1679096358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 GRANGERLAND RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773067809",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONE STAR COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2017-07-25",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "936-539-4004"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3778540-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Family Health Center - Grangerland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.