NPIMap

Organization Active NPI

South Central Houston Action Council, Inc.

Doing business as Central Care Community Health Center - Riverside

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1821177866
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC.
Doing business as
Central Care Community Health Center - Riverside
Practice address
3315 Delano Street
Houston, TX 77004-3284
Phone
(713) 831-9663
Fax
(713) 831-9660
NPI assigned
Nov 2, 2006
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Marcus A Roland
Title
President/Ceo
Phone
(713) 734-4580

Specialties & licenses 1

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

Addresses

Primary practice location

3315 Delano Street
Houston, TX 77004-3284

Mailing address

P.O. Box 300345
Houston, TX 77230-0345
Phone (713) 734-4580

Other identifiers 1

IdentifierTypeStateIssuer
111687304MedicaidTX

Other names 1

  • Central Care Community Health Center - Riverside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821177866. Details of each certification follow.

  • CCN 671811 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 671811

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SCHCHC - RIVERSIDE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 12, 2005
Last certification
Apr 12, 2005
Ownership / control type
For profit – corporation
Facility address
3315 Delano
Houston, TX 77004
Related CCNs
451903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1821177866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 300345",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300345",
            "telephone_number": "713-734-4580",
            "fax_number": "713-734-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 DELANO STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043284",
            "telephone_number": "713-831-9663",
            "fax_number": "713-831-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "713-734-4580"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111687304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care Community Health Center - Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.