NPIMap

Organization Active NPI

Brazos Valley Community Action Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rockdale, TX
National Provider Identifier
1881244978
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
Practice address
1701 Pecos Ave
Rockdale, TX 76567-2570
Phone
(512) 883-1070
Fax
(979) 260-9835
NPI assigned
Sep 19, 2019
Organization subpart
Yes
Parent organization
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Theresa Sabella, JD, PHD
Title
Ceo
Phone
(979) 383-2340

Specialties & licenses 1

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

Addresses

Primary practice location

1701 Pecos Ave
Rockdale, TX 76567-2570

Mailing address

1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 383-2340

Other names 2

  • HealthPoint Doing business as
  • HealthPoint Rockdale Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory
Part of
Brazos Valley Community

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1881244978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-383-2340",
            "fax_number": "979-260-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PECOS AVE",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672570",
            "telephone_number": "512-883-1070",
            "fax_number": "979-260-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "SABELLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-383-2340",
        "authorized_official_credential": "JD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPoint Rockdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockdale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.