LIVE OAK COMMUNITY HEALTH CENTER – NPI #1336491083
Clinic/Center

LIVE OAK COMMUNITY HEALTH CENTER is an AHC clinic located in THREE RIVERS, TX. NPPES has assigned the NPI number 1336491083 to LIVE OAK COMMUNITY HEALTH CENTER on October 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIVE OAK COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is ATASCOSA HEALTH CENTER, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Apr 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVE OAK COMMUNITY HEALTH CENTER below.

NPI Profile for
ATASCOSA HEALTH CENTER, INC.

NPI Number
1336491083
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATASCOSA HEALTH CENTER, INC.
Doing Business As (dba): LIVE OAK COMMUNITY HEALTH CENTER
Primary location
105 E. THORNTON
THREE RIVERS, TX 78071
Phone: (361) 786-3618 Fax: (361) 786-3649
Mailing address
310 W OAKLAWN RD
PLEASANTON, TX 78064-4033
Phone: (830) 569-8940 Fax: (830) 224-6905
Organization Subpart
Yes - LIVE OAK COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
MONTY SMALL
CEO
Phone: (830) 569-8940
Updated
Certification Date
Apr 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.