Health Center Of Southeast Texas - Shepherd is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Shepherd, Texas. The current practice location for Health Center Of Southeast Texas - Shepherd is 11 Woodland Park Dr, Shepherd, Texas. For appointments, you can reach them via phone at
(936) 628-1100. The mailing address for Health Center Of Southeast Texas - Shepherd is 307 N William Barnett Ave, Cleveland, Texas and phone number is (281) 592-2224.
Health Center Of Southeast Texas - Shepherd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1346472537. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(936) 628-1100.
Primary Care Clinic Profile
| Full Name | Health Center Of Southeast Texas - Shepherd |
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| Speciality | Clinic/Center |
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| Location | 11 Woodland Park Dr, Shepherd, Texas |
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| Authorized Official Name and Position | Steven Racciato (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 2815922224 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Health Center Of Southeast Texas - Shepherd
307 N William Barnett Ave
Cleveland
TX 77327-4061
Ph: (281) 592-2224 | Health Center Of Southeast Texas - Shepherd
11 Woodland Park Dr
Shepherd
TX 77371-6495
Ph: (936) 628-1100 |
NPI Details:
| NPI Number | 1346472537 |
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| Provider Enumeration Date | 08/20/2009 |
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| Last Update Date | 06/21/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9739195041 |
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| Medicare Enrollment ID | O20100414000652 |
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Medical Identifiers
Medical identifiers for Health Center Of Southeast Texas - Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346472537 | NPI | - | NPPES |
| 179566803 | Medicaid | TX | |
| 0044NH | Other | TX | BLUE CROSS/SHIELD GROUP NUMBER |
| 179566802 | Medicaid | TX | |
| 179566801 | Medicaid | TX | |
| 00W245 | Other | TX | MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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