Victory Lakes Family Care
LBN: Stephen F Austin Community Health Center, Inc
Victory Lakes Family Care is an health care organization with primary practice located at 2360 Gulf Fwy S Ste 100C, League City TX 77573-6448. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Stephen F Austin Community Health Center, Inc can be contacted via phone (281) 824-1480, or through Smith, Brandy Renee via phone (281) 824-1480.
Contact Information
Primary practice address
2360 Gulf Fwy S Ste 100C
League City TX 77573-6448
Phone: (281) 824-1480
Fax: (281) 220-6407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1881101483 |
|---|---|
| LBN Legal business name | Stephen F Austin Community Health Center, Inc |
| DBA Doing business as | Victory Lakes Family Care |
| Authorized official | Smith, Brandy Renee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 4th, 2018 |
| Last updated | Mar 26th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881101483 | NPPES |
| Texas | Other | 45D2151249 | CLIA |
| Texas | MEDICAID | 399363601 | CLIA |
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