Organization Active NPI

Pasadena Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, TX
National Provider Identifier
1932104965
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
M8570 Issued in TX
Legal business name
PASADENA HEALTH CENTER, INC
Practice address
908 Southmore Ave
Ste 100
Pasadena, TX 77502-1134
Phone
(713) 554-1091
Fax
(713) 554-1096
NPI assigned
Jun 16, 2005
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. John Michael Sweitzer
Title
Executive Director
Phone
(713) 554-1091

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X M8570 TX Primary
Federally Qualified Health Center (FQHC) 261QF0400X M8383 TX
Federally Qualified Health Center (FQHC) 261QF0400X 21495 TX
Federally Qualified Health Center (FQHC) 261QF0400X 19719 TX

Addresses

Primary practice location

908 Southmore Ave
Ste 100
Pasadena, TX 77502-1134

Mailing address

908 Southmore Ave.
Ste 100
Pasadena, TX 77502-1120
Phone (713) 554-1091

Other identifiers 1

IdentifierTypeStateIssuer
177817701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000824 TX Part B Supplier - Clinic/Group Practice 6507827144 Receives reassigned benefits from 4 practitioners
Practice locations: Pasadena, TX

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
45D1028325Pasadena Health Center, Inc908 Southmore Ave, Ste 100, Pasadena, TX 77502Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

213 W Southmore Ave
Ste 409
Pasadena, TX 77502
Phone (713) 554-1091

524 Pasadena Blvd
Ste 1001
Pasadena, TX 77506
Phone (713) 554-1091

908 Southmore Ave
Ste 100
Pasadena, TX 77502
Phone (281) 501-7626

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1932104965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SOUTHMORE AVE.",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021120",
            "telephone_number": "713-554-1091",
            "fax_number": "713-554-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SOUTHMORE AVE",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021134",
            "telephone_number": "713-554-1091",
            "fax_number": "713-554-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-554-1091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "M8570",
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "M8383",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "21495",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "19719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177817701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.