HEALTH CENTER OF SOUTHEAST TEXAS - LIBERTY
NPI 1043570567
Clinic/Center - Federally Qualified Health Center (FQHC) in Liberty, TX
About Health Center Of Southeast Texas - Liberty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTH CENTER OF SOUTHEAST TEXAS - LIBERTY (NPI 1043570567) is a healthcare organization registered as a federally qualified health center (fqhc) in Liberty, Texas and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Steven Racciato, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Health Center Of Southeast Texas - Liberty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Health Center Of Southeast Texas - Liberty, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 23The Woodlands, TX 77385
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 45D1049866
Health Center Of Southeast Texas · Cleveland, TXFrequently 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 Health Center Of Southeast Texas's NPI number?
The NPI number for Health Center Of Southeast Texas is 1043570567. It was assigned to this organization in the NPPES registry on May 17, 2012. The provider is doing business as Health Center Of Southeast Texas - Liberty.
Where is Health Center Of Southeast Texas located?
Health Center Of Southeast Texas is located at 1400 N Travis St, Liberty, TX 77575. The listed phone number is (936) 334-1185.
What is Health Center Of Southeast Texas's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Health Center Of Southeast Texas enrolled in Medicare?
Yes. Health Center Of Southeast Texas is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Health Center Of Southeast Texas?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Health Center Of Southeast Texas. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Pediatric Medicine (3) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Health Center Of Southeast Texas hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1049866) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Health Center Of Southeast Texas 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 list Health Center Of Southeast Texas 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 Health Center Of Southeast Texas was last updated on February 21, 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.
# Health Center Of Southeast Texas - Liberty · NPI 1043570567
Federally Qualified Health Center (FQHC) organization in Liberty, Texas. Organization record, active in the CMS NPPES registry since May 17, 2012.
## Identity
- **NPI:** 1043570567 (Entity type: Organization)
- **Enumerated:** May 17, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Health Center Of Southeast Texas
- **Organization subpart:** No
- **Authorized official:** Steven Racciato, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1400 N TRAVIS ST, Liberty, TX 77575-3138
- **Phone:** (936) 334-1185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Pediatric Medicine (3), Mental Health Counselor (2); [full list](https://npiprofile.com/npi/1043570567/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
- **Other identifiers:** Medicaid 179566802 (TX); Medicaid 179566803 (TX); Medicaid 179566801 (TX); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043570567) · Data from the CMS NPPES public registry.