NPIMap

Organization Active NPI

Lone Star Community Health Center, Inc.

Doing business as Lone Star Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TX
National Provider Identifier
1902442056
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LONE STAR COMMUNITY HEALTH CENTER, INC.
Doing business as
Lone Star Family Health Center
Practice address
227 SH 75N Ste. 130
Huntsville, TX 77320-3171
Phone
(936) 539-4004
Fax
(936) 291-0746
NPI assigned
Nov 25, 2019
Reactivated
Nov 5, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LONE STAR COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Karen Harwell
Title
Ceo
Phone
(936) 539-4004

Specialties & licenses 1

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

Addresses

Primary practice location

227 SH 75N Ste. 130
Huntsville, TX 77320-3171

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

Other identifiers 1

IdentifierTypeStateIssuer
1630386-08MedicaidTX

Other names 2

  • Lone Star Family Health Center Doing business as
  • Lone Star Family Health Center - Huntsville Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129001496 TX Part A Provider - Federally Qualified Health Center (FQHC) 7416841994 1 other NPI on this enrollment
Practice locations: Huntsville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902442056. Details of each certification follow.

Federally qualified health center certification: CCN 451100

Legal name
LONE STAR COMMUNITY HEALTH CENTER, INC
Doing business as
LONE STAR FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2020
Last certification
Jan 29, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2002 in TX
Enrollment address
227 State Highway 75 N
Ste 130
Huntsville, TX 77320-3171

Other NPIs with the same Medicare PAC ID 6

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

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
Tax ID family
Lone Star Comm HLTH Ctr Inc7 organizations share this tax ID, including this one
Part of
Lone Star Comm HLTH Ctr Inc

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Alfredo Hassey Individual Corporate DirectorBoard of Director Sep 1, 2010
Lane J Aiena Individual Corporate DirectorBoard of Director Jul 1, 2021
Stephanie Atkins Individual Corporate DirectorBoard of Director Feb 1, 2022
Anthony Shelton Individual Corporate DirectorBoard of Director Oct 1, 2018
Paola Gorman Individual Corporate DirectorBoard of Director Apr 24, 2024
Ana Stella Individual Corporate DirectorBoard of Director Jan 1, 2023
Denise Cipolla Individual Corporate DirectorBoard of Director Nov 1, 2019
Rodrigo Chaves Individual Corporate DirectorBoard of Director Jan 1, 2013
Heidi Albright Individual W-2 Managing EmployeeChief Operating Officer Apr 8, 2019
Duke Coon Individual Corporate OfficerPresident Nov 1, 2020
Corporate DirectorBoard of Director Jan 1, 2015
Karen Harwell Individual Corporate OfficerVice President Feb 1, 2017
W-2 Managing EmployeeChief Executive Officer Nov 1, 2012
Hector Forestier Individual Corporate DirectorBoard of Director Nov 1, 2018
Phillip Chris Grice Individual Corporate DirectorBoard of Director Aug 1, 2023
Karen Lonon Individual Corporate DirectorBoard of Director May 1, 2014

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1902442056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SH 75N STE. 130",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203171",
            "telephone_number": "936-539-4004",
            "fax_number": "936-291-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONE STAR COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-16",
        "deactivation_date": "2020-01-17",
        "reactivation_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-539-4004"
    },
    "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": "1630386-08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Family Health Center - Huntsville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.