A.W. GRIMES MEDICAL OFFICES – NPI #1790937738
Clinic/Center

A.W. GRIMES MEDICAL OFFICES is an AHC clinic located in ROUND ROCK, TX. NPPES has assigned the NPI number 1790937738 to A.W. GRIMES MEDICAL OFFICES on October 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “A.W. GRIMES MEDICAL OFFICES” is a dba name, the actual legal business name for this organization is LONE STAR CIRCLE OF CARE. 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 15 years ago on Mar 03, 2011. 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 A.W. GRIMES MEDICAL OFFICES below.

NPI Profile for
LONE STAR CIRCLE OF CARE

NPI Number
1790937738
Enumeration Date

(more than 17 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
LONE STAR CIRCLE OF CARE
Doing Business As (dba): A.W. GRIMES MEDICAL OFFICES
Primary location
2051 GATTIS SCHOOL RD
SUITE 250
ROUND ROCK, TX 78664-7441
Phone: (877) 800-5722 Fax: (512) 238-5492
Mailing address
205 E UNIVERSITY AVE
SUITE 200
GEORGETOWN, TX 78626-6814
Phone: (512) 868-1124 Fax: (512) 868-9894
Organization Subpart
Yes - A.W. GRIMES MEDICAL OFFICES is subpart of another organization.
Authorized Official
PETER PERIALAS
CHIEF EXECUTIVE OFFICER
Phone: (512) 868-1124
Updated
Identifiers

Identifiers for A.W. GRIMES MEDICAL OFFICES

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
MEDICAIDTX206351301
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)
TX

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.