Active NPI
Cactus Health Services, Inc
- Federally Qualified Health Center (FQHC)
- Fort Stockton, TX
National Provider Identifier
1881974616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- CACTUS HEALTH SERVICES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Stockton, TX
- NPI 1962663740
O20050603000620
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
- 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.
-
- Social Worker
- Las Cruces, NM
- NPI 1629631494
-
- Family Nurse Practitioner
- Fort Stockton, TX
- NPI 1912337734
-
- Family Nurse Practitioner
- Fort Stockton, TX
- NPI 1538670534
-
- Women's Health Nurse Practitioner
- Fort Stockton, TX
- NPI 1881633584
-
- Medical Physician Assistant
- Fort Stockton, TX
- NPI 1356768915
-
- Adult Health Nurse Practitioner
- Aurora, CO
- NPI 1528133394
-
- Nurse Practitioner
- West Wendover, NV
- NPI 1699250753
-
- Medical Physician Assistant
- Clarksville, TN
- NPI 1295036440
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
- Bir Hospital LLC (Road Runner Adult Day Care)
- Audrey Everett Black, M.S., CCC-SLP
- Rahul Boinpally, MD
- Boon Dental Alliance P.a.
- Bouyean Dentistry PLLC
- Cactus Health Services, Inc
- Jeremy Calzada, PT
- Monika Urias Castellano
- Amanda Sosa Celaya, LVN
- Century Fort Stockton Geac LLC (Fort Stockton Nursing Center)
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.