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LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1245583590
Clinic/Center - Federally Qualified Health Center (FQHC) in Houston, TX

Active since October 24, 2012CLIA 45D2138404 · Waiver
500 TIDWELL RD, HOUSTON, TX 77022(832) 548-5000(713) 523-4897 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Oct 4, 2021 (2 updates tracked since 2021).

About Legacy Community Health Services, Inc NPPES

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

LEGACY COMMUNITY HEALTH SERVICES, INC (NPI 1245583590) is a healthcare organization registered as a federally qualified health center (fqhc) in Houston, Texas and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Robert Peter Palussek, Coo, as its authorized official.

NPPES Registry Identity

NPI1245583590
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY COMMUNITY HEALTH SERVICES, INC
Location Address500 TIDWELL RDHouston, TX 77022-2122
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5076 · Fax (713) 523-4897
Phone(832) 548-5000
Fax(713) 523-4897
Organization SubpartNo
Authorized OfficialRobert Peter PalussekCoo · (832) 548-5000
Enumeration DateOctober 24, 2012
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1245583590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
500 TIDWELL RD, Houston, TX 77022
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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

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 45D2138404

Legacy Community Health Kipp-Dream · Houston, TX
Active · expires Oct 16, 2027
CLIA Number45D2138404
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorSusanna Blanchard
Laboratory Phone(713) 814-3293
Laboratory LocationLegacy Community Health Kipp-Dream500 Tidwell, Houston, TX 77022
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

KAMESHA D SELLERS
Counselor (Professional)
500 TIDWELL RD
HOUSTON, TX 77022
Harris County (832) 548-5000
ERICA LYNN LEWIS FNP
Nurse Practitioner (Family)
500 TIDWELL RD
HOUSTON, TX 77022
Harris County (832) 548-5000
LOLITA THIBODEAUX THOMPSON
Counselor (Professional)
500 TIDWELL RD
HOUSTON, TX 77022
Harris County (281) 628-2050

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 Legacy Community Health Services, Inc's NPI number?

The NPI number for Legacy Community Health Services, Inc is 1245583590. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Legacy Community Health Services, Inc located?

Legacy Community Health Services, Inc is located at 500 Tidwell Rd, Houston, TX 77022. The listed phone number is (832) 548-5000.

What is Legacy Community Health Services, 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 Legacy Community Health Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2138404) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legacy Community Health Services, Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Legacy Community Health Services, 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 Legacy Community Health Services, Inc was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.