Organization Active NPI

Cactus Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Stockton, TX
National Provider Identifier
1881974616
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CACTUS HEALTH SERVICES, INC
Practice address
700 N Main St
Fort Stockton, TX 79735-5626
Phone
(432) 336-8110
Fax
(833) 415-1031
NPI assigned
Aug 24, 2011
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CACTUS HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Rachel Mechelle Rodriguez
Title
Ceo
Phone
(432) 290-2209

Specialties & licenses 1

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

Addresses

Primary practice location

700 N Main St
Fort Stockton, TX 79735-5626

Mailing address

700 N Main St
Fort Stockton, TX 79735-5626
Phone (432) 336-8110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000620 TX Part B Supplier - Clinic/Group Practice 8123932308 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Stockton, TX

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Cactus Health Services Inc

Locations

301 N Water St
Fort Stockton, TX 79735
Phone (254) 466-8901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10395/brand/1/csg/1/fhir/r4

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1881974616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355626",
            "telephone_number": "432-336-8110",
            "fax_number": "833-415-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355626",
            "telephone_number": "432-336-8110",
            "fax_number": "833-415-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CACTUS HEALTH SERVICES, INC.",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MECHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-290-2209"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.