NPIMap

Organization Active NPI

Brownsville Community Health Clinic Corporation

Doing business as New Horizon Health Center

  • Federally Qualified Health Center (FQHC)
  • Laguna Vista, TX
National Provider Identifier
1891525127
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION
Doing business as
New Horizon Health Center
Practice address
723 Santa Isabel Blvd Ste G
Laguna Vista, TX 78578-2647
Phone
(956) 548-7400
NPI assigned
Aug 2, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Jason K Wallace
Title
Chief Executive Officer
Phone
(956) 548-7400

Specialties & licenses 1

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

Addresses

Primary practice location

723 Santa Isabel Blvd Ste G
Laguna Vista, TX 78578-2647

Mailing address

191 E Price Rd
Brownsville, TX 78521-3527
Phone (956) 548-7400

Other names 1

  • New Horizon Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060705000017 TX Part B Supplier - Clinic/Group Practice 1658264304 Receives reassigned benefits from 44 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laguna Vista, TX; Brownsville, TX
O20241017003376 TX Part A Provider - Federally Qualified Health Center (FQHC) 1658264304 Practice locations: Laguna Vista, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891525127. Details of each certification follow.

Federally qualified health center certification: CCN 971025

Legal name
BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION
Doing business as
NEW HORIZON HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 30, 2024
Last certification
Sep 30, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 11, 1978 in TX
Enrollment address
723 Santa Isabel Blvd
Ste G
Laguna Vista, TX 78578-2647

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2309826New Horizon Health Center723 Santa Isabel Blvd Ste G, Laguna Vista, TX 78578Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Brownsville Comm HLTH Clin8 organizations share this tax ID, including this one
Part of
Brownsville Comm HLTH Clin

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Juan Jose Guerra Individual Corporate DirectorBoard Member Nov 30, 2017
Raul Rodriguez Individual Corporate DirectorBoard Member Dec 10, 2010
Rudy Perez Individual Corporate DirectorBoard Member Sep 6, 2016
Brownsville Community Health Clinic Corporation Organization, Brownsville, TX Non-profit Operational/Managerial Control Sep 3, 2024
Hermila Gil Individual Corporate DirectorBoard Member Dec 10, 2010
Cassandra Guillen Individual Corporate DirectorBoard Member Oct 2, 2013
Cristela Gonzalez Individual W-2 Managing EmployeeClinical Operations Director Jan 1, 2012
Luz Maria Silva Individual Corporate DirectorBoard Member Sep 30, 2016
James C Walker Individual Corporate DirectorBoard Member Oct 2, 2013
Enrique a Garcia Individual W-2 Managing EmployeeFinance Director Jan 1, 2012
Silvia B Moran Individual Corporate DirectorBoard Member Oct 2, 2013
Henry L. Imperial Individual W-2 Managing EmployeeMD; Jan 1, 2012
Jason K Wallace Individual Corporate OfficerChief Executive Officer Dec 4, 2023
Moises L Gomez Individual Corporate DirectorBoard Member Nov 7, 2012
Edelmiro Garcia Individual Corporate DirectorBoard Member Dec 10, 2010
Maria E Pena Individual Corporate DirectorBoard Member Dec 10, 2010
Edward a Stapleton Individual Corporate DirectorBoard Member Jan 1, 2023
Nyla C Gordon Individual Corporate DirectorBoard Member Dec 10, 2010
Maria S Trevino Individual Corporate DirectorBoard Member Dec 10, 2010

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Horizon Health CenterBrownsville, TX, CCN 671968 Federally qualified health center Operational/Managerial Control Mar 7, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1891525127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SANTA ISABEL BLVD STE G",
            "city": "LAGUNA VISTA",
            "state": "TX",
            "postal_code": "785782647",
            "telephone_number": "956-548-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "956-548-7400"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizon Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Vista, TX

Sources for this page

Verify at the official NPI Registry.