NPIMap

Organization Active NPI

Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Farmersville, TX
National Provider Identifier
1922081561
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH SERVICE AGENCY, INC.
Practice address
1708 W Audie Murphy Pkwy Ste 400
Farmersville, TX 75442-2708
Phone
(972) 782-6131
Fax
(972) 782-6304
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Michelle P Carter
Title
Cfo
Phone
(903) 455-5986

Specialties & licenses 1

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

Addresses

Primary practice location

1708 W Audie Murphy Pkwy Ste 400
Farmersville, TX 75442-2708

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5986

Other identifiers 1

IdentifierTypeStateIssuer
019052201MedicaidTX

Other names 1

  • Carevide Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117000551 TX Part A Provider - Federally Qualified Health Center (FQHC) 6305735150 Practice locations: Farmersville, TX

Federally qualified health center certification: CCN 451896

Legal name
COMMUNITY HEALTH SERVICE AGENCY, INC.
Doing business as
CAREVIDE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 7, 1994
Last certification
Jul 7, 1994
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 15, 1976 in TX
Enrollment address
1708 W Audie Murphy Pkwy
Ste 400
Farmersville, TX 75442-2708
Related CCNs
451822

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Community Health Servic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4311 Wesley St
Greenville, TX 75401
Phone (903) 455-5958

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Michelle Carter Individual Corporate OfficerCeo Jan 1, 2012
Thomas J Goss Individual Corporate DirectorBoard Vice Chair Mar 31, 2015
Bryan Keith Winters Individual Corporate Director Sep 1, 2010
Stan McKee Individual Corporate Director Sep 1, 2010
Paul Kelley Individual Corporate DirectorBoard Member Apr 24, 2018
Wendi Alvarado Individual W-2 Managing Employee May 18, 2009
Alma Paulin Individual Corporate DirectorBoard Member Jun 26, 2018
Nona Jordan Individual Corporate Director Sep 1, 2010
Paul Painter Individual Corporate Director Sep 1, 2010
Amy Wade Individual Corporate DirectorBoard Secretary Apr 25, 2017
James Andrew Bench Individual Corporate Director Oct 4, 2013
Brenda Sue Cregg Individual Corporate Director Sep 1, 2012

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1922081561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-455-5986",
            "fax_number": "903-454-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W AUDIE MURPHY PKWY STE 400",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422708",
            "telephone_number": "972-782-6131",
            "fax_number": "972-782-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-455-5986"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019052201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carevide",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carevide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmersville, TX

Sources for this page

Verify at the official NPI Registry.