Brazos Valley Community Action Agency, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Navasota, TX
NPI 1700973187 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1700973187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
- Practice address
- 8310 Highway 6 Loop
Navasota, TX 77868-3248 - Phone
- (936) 825-0000
- NPI assigned
- Oct 6, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC
Authorized official
- Name
- Theresa Sabella, JD, PHD
- Title
- Ceo
- Phone
- (979) 383-2348
Owners & managing parties with NPI records 1
-
Maryann Miyun Choi I, M.D.
Other NPIs on the same Medicare enrollment 14
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 18
Related certifications (CCN) 1
Practitioners 45
-
Shirley Jeanne Baker, PA-C
-
Abara Dibaki, PMHNP-BC
-
Courtney N Groves, FNP
-
Crystal James Mable, FNP
-
Kimberly McBride, FNP-BC
-
Jeflyn D Tate, WHNP
-
Miranda L Allen, LCSWS
-
Michele Armstrong, WHNP
-
Tanya R Babaei, LCSW
-
Kara Ann Bell, LCSW
-
Neile Elaine Briden, APRN, FNP-C
-
Amy Bopha Bun, PMHNP
-
Brenda Kay Clarke, FNP-C
-
Chanseya A Davis, MD
-
Michelle Linda Eppers, RN WHNP-BC
-
Roland R Garza, MD
-
Kimberly Allison Glidewell, M.S., PA-C
-
Shelly Dawn Hitchcock, FNP-C
-
Jerry Don Lloyd, FNP-C
-
Nyasha Manyame, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Federally qualified health center certification: CCN 451981
- Legal name
- BRAZOS VALLEY COMMUNITY ACTION AGENCY INC
- Doing business as
- HEALTHPOINT
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 23, 2004
- Last certification
- Sep 23, 2004
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 17, 1972 in TX
- Enrollment address
- 8310 Highway 6 Loop
Navasota, TX 77868-3248 - Related CCNs
- 451942
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Mertz |
Corporate Officer |
Jul 15, 2019 | 12% |
| Maryann Miyun Choi |
Corporate Officer |
Feb 5, 2024 | 12% |
| Mike Sutherland |
Corporate Director |
Aug 12, 2010 | |
| Debra Makowsky |
Corporate Officer |
Feb 1, 2024 | 12% |
| W-2 Managing Employee |
Feb 1, 2024 | ||
| William Rios |
Corporate Director |
Jun 1, 2021 | |
| Mathew Woods |
Corporate Director |
Jun 1, 2021 | |
| Jacqueln Morrow |
Corporate Director |
Jun 1, 2021 | |
| Janie O Velasquez |
Corporate Director |
Apr 11, 2014 | |
| James McCullough |
Corporate Director |
May 10, 2012 | |
| Tasha de la Torre |
Corporate Director |
Jun 1, 2024 | |
| Carolyn Konecny |
Corporate Officer |
Aug 19, 2024 | 15% |
| Kimberley Usher |
Corporate Director |
Sep 13, 2017 | |
| Brian Thurston |
Corporate Officer |
Feb 1, 2024 | 12% |
| Lucina Monarrez |
Corporate Director |
Mar 18, 2026 | |
| Mary Wauters |
Corporate Officer |
Feb 25, 2026 | 25% |
| W-2 Managing Employee | Apr 1, 2026 | ||
| Laquita Clewis |
Corporate Director |
Sep 13, 2017 | |
| Yoexys Truxillo |
Corporate Officer |
May 4, 2026 | 12% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040708001095 | TX | Part B Supplier - Clinic/Group Practice | 4284542127 |
Receives reassigned benefits from 61 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Trinity, TX; Rockdale, TX; Navasota, TX; Madisonville, TX; Hempstead, TX; Hearne, TX; College Station, TX; Centerville, TX… |
| O20040910000761 | TX | Part a Provider - Federally Qualified Health Center (FQHC) | 4284542127 | Practice locations: Navasota, TX |
National Provider Directory
- Tax ID family
- Brazos Valley Community
- Part of
- Brazos Valley Community
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
8310 Highway 6 Loop
Navasota, TX 77868-3248
Mailing address
1500 University Dr E
#100
College Station, TX 77840-2600
Phone (979) 846-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000951607 | Medicaid | TX | |
| 000951605 | Medicaid | TX |
Other names
- HealthPoint
- HealthPoint Navasota
Other providers in Navasota, TX
- Ryan Attridge
- Jaime C Benton
- Margi Bhavsar
- Hanna Bobrovnyk
- Brazos Valley Community Action Agency, Inc
- Brazos Valley Emergency Physicians PA
- Brookshire Brothers Inc
- C H Prihoda MD PA
- Donna Hill Canney
- Alexandria Collins
All providers in Navasota, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.