Cross Timbers Health Clinics, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CROSS TIMBERS HEALTH CLINICS, INC.

Practice address

404 W Commerce St
Eastland, TX 76448-2600

Phone

(254) 893-5895

Fax

(254) 893-5222

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sherry L Hill, MPA

Title

Chief Executive Officer

Phone

(254) 893-5895

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• AccelHealth Doing business as
• Eastland Community Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cross Timbers Health Clinics, Inc

  • Federally Qualified Health Center (FQHC)
  • Stephenville, TX
  • NPI 1275830390

  O20051128000842

  Same enrollment
• Cross Timbers Health Clinics, Inc

  • Federally Qualified Health Center (FQHC)
  • Brownwood, TX
  • NPI 1679867576

  O20051128000842

  Same enrollment
• Cross Timbers Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • De Leon, TX
  • NPI 1134295074

  O20051128000842

  Same enrollment
• Cross Timbers Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brownwood, TX
  • NPI 1588778260

  O20051128000842

  Same enrollment

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1760487284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441630",
            "telephone_number": "254-893-5895",
            "fax_number": "254-893-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W COMMERCE ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482600",
            "telephone_number": "254-893-5895",
            "fax_number": "254-893-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TIMBERS HEALTH CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "254-893-5895",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "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": "126862506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccelHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastland Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Blake Carroll, D.C.
• Elijah Castanuela
• John Castanuela, PT
• Mark Dwayne Chaney, PA-C
• Kara Mackey Compton, R.D., L.D.
• Kevin Ray Cunningham, D.O.
• Robert Charles Deluca, D.O.
• Valerie Kai Deluca, D.O.
• Roberto John Denny, FNP, APRN
• Doc'S Drugstore of Eastland Inc

• Federally Qualified Health Center (FQHC) in Eastland, TX
• Providers in Eastland, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.