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EAST TEXAS COMMUNITY CLINIC, INC.
NPI 1033752456
Clinic/Center - Federally Qualified Health Center (FQHC) in Gun Barrel City, TX

Active since October 18, 2019CLIA Certified · 2 labs
801 W MAIN ST, GUN BARREL CITY, TX 75156(903) 887-1011(903) 340-8410 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Jun 19, 2023, Jul 13, 2022 and 3 more (6 updates tracked since 2019).

About East Texas Community Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS COMMUNITY CLINIC, INC. (NPI 1033752456) is a healthcare organization registered as a federally qualified health center (fqhc) in Gun Barrel City, Texas and active in the NPI registry since October 2019. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Glen W Robison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033752456
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS COMMUNITY CLINIC, INC.
Location Address801 W MAIN STGun Barrel City, TX 75156-5312
Mailing AddressPo Box 1610Athens, TX 75751-1610 · (903) 603-9851 · Fax (903) 802-7125
Phone(903) 887-1011
Fax(903) 340-8410
Organization SubpartNo
Authorized OfficialGlen W RobisonCeo · (903) 603-9851
Enumeration DateOctober 18, 2019
Last NPPES UpdateMay 30, 20246 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1033752456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
801 W MAIN ST, Gun Barrel City, TX 75156
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1115 Medical Cir Ste 100Athens, TX 75751-9004 · Phone (903) 603-7067 · Fax (903) 603-7595
Location 2400 E State Highway 243 Ste 18Canton, TX 75103-2445 · Phone (903) 287-5011 · Fax (903) 802-7125

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2174764

East Texas Community Clinic · Gun Barrel City, TX
Active · expires Nov 6, 2027
CLIA Number45D2174764
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDouglas W. Curran
Laboratory Phone(903) 887-1011
Laboratory LocationEast Texas Community Clinic801 W Main Street, Gun Barrel City, TX 75156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2325487

East Texas Community Clinic, Inc · Canton, TX
Active · expires Jun 12, 2027
CLIA Number45D2325487
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorDouglas W. Curran
Laboratory Phone(903) 287-5011
Laboratory LocationEast Texas Community Clinic, Inc400 East State Hwy 243, Ste 18, Canton, TX 75103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA MARIE GROUNDS P.A.
Physician Assistant
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-1011
HEALTH TEXAS PROVIDER NETWORK
Clinic/Center (Rural Health)
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-6252
DR. CHARLES TED METTETAL M.D.
Family Medicine
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-1011
MRS. DEBRA JEAN ROSSELL RN MSN CFNP
Nurse Practitioner (Family)
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-6252
MR. JAIME JAMES CACERES NP-C
Nurse Practitioner (Family)
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (469) 800-3800
DR. DOUGLAS W CURRAN MD
Family Medicine
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-1011
GARRETT HILL FNP-BC
Nurse Practitioner (Family)
801 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 887-1011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Community Clinic, Inc.'s NPI number?

The NPI number for East Texas Community Clinic, Inc. is 1033752456. It was assigned to this organization in the NPPES registry on October 18, 2019.

Where is East Texas Community Clinic, Inc. located?

East Texas Community Clinic, Inc. is located at 801 W Main St, Gun Barrel City, TX 75156. The listed phone number is (903) 887-1011.

What is East Texas Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does East Texas Community Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does East Texas Community Clinic, Inc. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list East Texas Community Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Community Clinic, Inc. was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.