LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1932694122
Clinic/Center - Federally Qualified Health Center (FQHC) in Beaumont, TX
NPI Status: Active since June 29, 2018
Contact Information
3455 STAGG DR
BEAUMONT, TX
ZIP 77701
Phone: (832) 548-5000
Fax: (713) 559-3255
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 45D2151662
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 10-30-2026
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 Beaumont, Texas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1932694122 assigned on June 2018. 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
- 1932694122
- Provider Name
- LEGACY COMMUNITY HEALTH SERVICES, INC
- Entity Type
- Organization
- Location Address
- 3455 STAGG DR BEAUMONT, TX 77701
- Location Phone
- (832) 548-5000
- Location Fax
- (713) 559-3255
- Mailing Address
- PO BOX 66308 HOUSTON, TX 77266
- Mailing Phone
- (832) 548-5000
- Mailing Fax
- (713) 559-3255
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2018
- Last Update Date
- 01-08-2025
- 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:
- 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
*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
- 45D2151662
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- October 31, 2024
- Certificate Expiration Date
- October 30, 2026
- Laboratory Director
- UCHENNA CONLEY
- 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 | 9 | 3 | 2 | 6 | 9 | 4 | 1 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 12 | 9 | 8 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 2 + 9 + 8 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1932694122 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1205189198 | JNJM ENTERPRISE Organization | Clinic/Center | 3455 STAGG DR SUITE 100 BEAUMONT, TX 77701 (281) 684-8535 |
| 1457355992 | SHARDA J. DOSHI M.D. Individual | Pediatrics | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1720168149 | ANDREA OWENS CPNP Individual | Nurse Practitioner (Pediatrics) | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1962494153 | DR. MARITA AILEEN NOGUERA OBENZA M.D. Individual | Pediatrics | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1114023223 | GEORGE E GROVES M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1497776751 | BEAUMONT CANCER INSTITUTE, P.A. Organization | Specialist | 3455 STAGG DR SUITE 102 BEAUMONT, TX 77701 (409) 813-1974 |
| 1467458299 | UMA MAHESH KANOJIA M.D. Individual | Pediatrics | 3455 STAGG DR STE 101 BEAUMONT, TX 77701 (409) 835-2082 |
| 1326357211 | RAMONA AALYN LPC Individual | Counselor (Professional) | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1740868330 | MR. JAVIER MEDINA LCSW Individual | Social Worker (Clinical) | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-5000 |
| 1881460145 | BRITTANY PARSELS PH.D., LMSW Individual | Social Worker | 3455 STAGG DR BEAUMONT, TX 77701 (409) 242-2531 |
| 1447671987 | MRS. ROSE BROOKS STUTES M.ED., LPC Individual | Counselor (Professional) | 3455 STAGG DR BEAUMONT, TX 77701 (832) 548-0000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932694122, enumerated in the NPI registry as an "organization" on June 29, 2018
The provider is located at 3455 Stagg Dr Beaumont, Tx 77701 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: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2151662 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 June 29, 2018. 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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