HEALTH CENTER OF SOUTHEAST TEXAS - LIBERTY
NPI 1043570567
Clinic/Center - Federally Qualified Health Center (FQHC) in Liberty, TX

Active since May 17, 2012CLIA 45D1049866 · Waiver
1400 N TRAVIS ST, LIBERTY, TX 77575(936) 334-1185 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Oct 30, 2020 (2 updates tracked since 2020).

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

NPI1043570567
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHEALTH CENTER OF SOUTHEAST TEXAS
Location Address1400 N TRAVIS STLiberty, TX 77575-3138
Mailing Address307 N William Barnett AveCleveland, TX 77327-4061 · (281) 592-2224 · Fax (281) 592-2225
Organization SubpartNo
Authorized OfficialSteven RacciatoExecutive Director · (281) 592-2224
Enumeration DateMay 17, 2012
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1043570567 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1400 N TRAVIS ST, Liberty, TX 77575

Other Names 1

Doing Business AsHealth Center Of Southeast Texas - Liberty

Other Identifiers 5

Medicaid179566802TX
Medicaid179566803TX
Medicaid179566801TX
Other0044NHTX · Blue Cross/shield Group Number
Other00W245TX · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, TX
Active · expires Jan 18, 2028
CLIA Number45D1049866
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorSteven Racciato
Laboratory Phone(281) 592-2224
Laboratory LocationHealth Center Of Southeast Texas307 N William Barnett Ave, Cleveland, TX 77327
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.