LEGACY COMMUNITY HEALTH SERVICES, INC – NPI #1740909415
Clinic/Center

LEGACY COMMUNITY HEALTH SERVICES, INC is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1740909415 to LEGACY COMMUNITY HEALTH SERVICES, INC on August 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Jan 08, 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 LEGACY COMMUNITY HEALTH SERVICES, INC below.

NPI Profile for
LEGACY COMMUNITY HEALTH SERVICES, INC

NPI Number
1740909415
Enumeration Date

(about 4 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
LEGACY COMMUNITY HEALTH SERVICES, INC
Primary location
10021 MAIN ST STE B3
HOUSTON, TX 77025-5254
Phone: (832) 548-5000 Fax: (832) 779-8862
Mailing address
PO BOX 66308
HOUSTON, TX 77266-6308
Phone: (832) 548-5000 Fax: (832) 779-8862
Organization Subpart
No
Authorized Official
ROBERT PALUSSEK
COO
Phone: (832) 548-5000
Updated
Certification Date
Jan 08, 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.

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.