LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1699117523
Clinic/Center - Federally Qualified Health Center (FQHC) in Baytown, TX
NPI Status: Active since July 19, 2013
Contact Information
4301 GARTH RD STE 400
BAYTOWN, TX
ZIP 77521
Phone: (832) 548-5000
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 45D2278215
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-13-2027
About LEGACY COMMUNITY HEALTH SERVICES, INC
This page provides the complete NPI Profile along with additional information for Legacy Community Health Services, Inc, a primary care provider established in Baytown, Texas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1699117523 assigned on July 2013. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Robert Peter Palussek (Coo)
- NPI
- 1699117523
- Provider Name
- LEGACY COMMUNITY HEALTH SERVICES, INC
- Entity Type
- Organization
- Location Address
- 4301 GARTH RD STE 400 BAYTOWN, TX 77521
- Location Phone
- (832) 548-5000
- Mailing Address
- PO BOX 66308 HOUSTON, TX 77266
- Mailing Phone
- (832) 548-5000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2013
- Last Update Date
- 01-09-2025
- Code Navigator
A primary care provider (PCP) like Legacy Community Health Services, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear VALUE Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2278215
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 14, 2025
- Certificate Expiration Date
- March 13, 2027
- Laboratory Director
- CYNTHIA ROLAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Legacy Community Health Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LEGACY COMMUNITY HEALTH SERVICES, INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 1 | 1 | 7 | 5 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 2 | 1 | 14 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 2 + 1 + 1 + 4 + 5 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1699117523 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225288293 | DR. MADHUMITA BANGA MD Individual | Family Medicine | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5000 |
| 1376778126 | PAYEL BANIK D.O. Individual | Family Medicine | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (281) 428-4563 |
| 1720667371 | ANH TO DO Individual | Family Medicine | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5000 |
| 1487235040 | DR. MICHAEL REIDAR DYBDAL-HARGREAVES MD Individual | Student in an Organized Health Care Education/Training Program | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5151 |
| 1508587254 | BETTY MERCER Individual | Social Worker | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (281) 628-2017 |
| 1609433481 | KAELI FREEBOROUGH DO Individual | Family Medicine | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5000 |
| 1609570589 | LAURA WINIKKA MD Individual | Student in an Organized Health Care Education/Training Program | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (281) 420-8400 |
| 1326743279 | ANNE NGO DO Individual | Student in an Organized Health Care Education/Training Program | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (713) 269-1538 |
| 1992425490 | DR. WUENSESLAO HERNANDEZ PHARMD Individual | Pharmacist (Ambulatory Care) | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5000 |
| 1952184822 | MS. SARA ANN COREY APSW Individual | Social Worker (Clinical) | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (832) 548-5000 |
| 1205628583 | SONIA MARTINEZ LCSW Individual | Social Worker (Clinical) | 4301 GARTH RD STE 400 BAYTOWN, TX 77521 (281) 420-8400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699117523, enumerated in the NPI registry as an "organization" on July 19, 2013
The provider is located at 4301 Garth Rd Ste 400 Baytown, Tx 77521 and the phone number is (832) 548-5000
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2278215 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 19, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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