AMISTAD COMMUNITY HEALTH CENTER INCORPORATED – NPI #1386770147
Clinic/Center

AMISTAD COMMUNITY HEALTH CENTER INCORPORATED is an AHC clinic located in CORPUS CHRISTI, TX. NPPES has assigned the NPI number 1386770147 to AMISTAD COMMUNITY HEALTH CENTER INCORPORATED on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 last updated on Apr 03, 2025. 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 AMISTAD COMMUNITY HEALTH CENTER INCORPORATED below.

NPI Profile for
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED

NPI Number
1386770147
Enumeration Date

(more than 19 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
AMISTAD COMMUNITY HEALTH CENTER INCORPORATED
Primary location
1533 S. BROWNLEE BLVD.
STE. 100
CORPUS CHRISTI, TX 78404-3131
Phone: (361) 884-2242 Fax: (361) 884-2243
Mailing address
1533 S BROWNLEE BLVD
CORPUS CHRISTI, TX 78404-3131
Phone: (361) 844-2242 Fax: (361) 844-2243
Organization Subpart
No
Authorized Official
CLARA PETERSON
CFO
Phone: (361) 886-3066
Updated
Certification Date
Apr 03, 2025

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.

Identifiers

Identifiers for AMISTAD COMMUNITY HEALTH CENTER INCORPORATED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAID TPI MULTISPECIALTY - GROUPTX215071601
medicaidTX191099401
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)
207Q00000X
- Family Medicine

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.