EAST TEXAS COMMUNITY HEALTH SERVICES, INC.
NPI 1255367090
Clinic/Center - Federally Qualified Health Center (FQHC) in Nacogdoches, TX

Active since June 23, 2006CLIA Certified · 2 labs
1309 S UNIVERSITY DR, NACOGDOCHES, TX 75961(936) 560-5668(936) 552-7240 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Sep 16, 2025, Jun 13, 2024 and 3 more (6 updates tracked since 2022).

About East Texas Community Health Services, Inc. NPPES

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

EAST TEXAS COMMUNITY HEALTH SERVICES, INC. (NPI 1255367090) is a healthcare organization registered as a federally qualified health center (fqhc) in Nacogdoches, Texas and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Nacogdoches, and lists Anita K Humphreys, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255367090
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS COMMUNITY HEALTH SERVICES, INC.
Location Address1309 S UNIVERSITY DRNacogdoches, TX 75961-6486
Mailing AddressPo Box 632040Nacogdoches, TX 75963-2040 · (936) 560-5413 · Fax (936) 552-7240
Fax(936) 552-7240
Organization SubpartNo
Authorized OfficialAnita K HumphreysCfo · (936) 560-5413
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 6, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1255367090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1309 S UNIVERSITY DR, Nacogdoches, TX 75961

Secondary Practice Location 1

Location 11401 S University DrNacogdoches, TX 75961-6488 · Phone (936) 560-5413 ext. 136 · Fax (936) 552-7240

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to East Texas Community Health Services, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner8
Obstetrics/Gynecology5
Certified Nurse Midwife (CNM)3
Mental Health Counselor2
Pediatric Medicine2
Certified Clinical Nurse Specialist (CNS)1
Family Practice1
Internal Medicine1

Nearest to this location (20)

See all 23
Certified Nurse Midwife (CNM)
NPI 1497803142
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1790532018
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOSSame address
Mental Health Counselor
NPI 1508941212
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427312081
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOSSame address
Internal Medicine
NPI 1861424319
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1396459079
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154510980
1309 S UNIVERSITY DR
Nacogdoches, TX 75961
(936) 560-5668
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1164934964
1108 SOUTH ST
Nacogdoches, TX 75964
(936) 560-3097
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1619259579
1108 SOUTH ST
Nacogdoches, TX 75964
(936) 560-3097
✔ PECOS1.1 mi
Certified Nurse Midwife (CNM)
NPI 1801136700
1108 SOUTH ST
Nacogdoches, TX 75964
(936) 560-3097
✔ PECOS1.1 mi
Obstetrics/Gynecology
NPI 1548220023
1018 N MOUND ST STE 205
Nacogdoches, TX 75961
(936) 569-9472
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1871042606
1210 DOUGLASS RD
Nacogdoches, TX 75964
(936) 560-5668
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1629438254
4604 NE STALLINGS DR
Nacogdoches, TX 75965
(936) 560-5668
✔ PECOS4.4 mi
Nurse Practitioner
NPI 1073983102
4604 NE STALLINGS DR
Nacogdoches, TX 75965
(936) 560-5668
✔ PECOS4.4 mi
Pediatric Medicine
NPI 1073871976
4604 NE STALLINGS DR
Nacogdoches, TX 75965
(936) 560-5668
✔ PECOS4.4 mi
Pediatric Medicine
NPI 1154507630
4604 NE STALLINGS DR
Nacogdoches, TX 75965
(936) 560-5668
✔ PECOS4.4 mi
Obstetrics/Gynecology
NPI 1184882581
4710 NE STALLINGS DR
Nacogdoches, TX 75965
(936) 560-2666
✔ PECOS✔ Accepts Medicare4.4 mi
Obstetrics/Gynecology
NPI 1730506031
4800 NE STALLINGS DR STE 106
Nacogdoches, TX 75965
(936) 569-0000
✔ PECOS✔ Accepts Medicare4.4 mi
Obstetrics/Gynecology
NPI 1932157542
4800 NE STALLINGS DR SUITE 106
Nacogdoches, TX 75965
(939) 569-0000
✔ PECOS✔ Accepts Medicare4.5 mi
Obstetrics/Gynecology
NPI 1851445340
4800 NE STALLINGS DR STE 106
Nacogdoches, TX 75965
(936) 569-0000
✔ PECOS✔ Accepts Medicare4.5 mi
See all 23 clinicians

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 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 for Provider-Performed Microscopy Procedures (PPMP) 45D0484161

East Texas Community Health Services, Inc · Nacogdoches, TX
Active · expires Aug 31, 2028
CLIA Number45D0484161
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRodrigo W. Sotillo
Laboratory Phone(936) 560-5668
Laboratory LocationEast Texas Community Health Services, Inc1309 South University Dr, Nacogdoches, TX 75961
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D2314835

East Texas Community Health Services, Inc · Nacogdoches, TX
Active · expires Dec 1, 2026
CLIA Number45D2314835
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorRodrigo W. Sotillo
Laboratory Phone(936) 560-5668
Laboratory LocationEast Texas Community Health Services, Inc1210 Douglass Rd, Nacogdoches, TX 75964
CLIA data matches this NPI record on: 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 East Texas Community Health Services, Inc.'s NPI number?

The NPI number for East Texas Community Health Services, Inc. is 1255367090. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is East Texas Community Health Services, Inc. located?

East Texas Community Health Services, Inc. is located at 1309 S University Dr, Nacogdoches, TX 75961. The listed phone number is (936) 560-5668.

What is East Texas 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.

Is East Texas Community Health Services, Inc. enrolled in Medicare?

Yes. East Texas Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Community Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 8 Medicare specialties reassign their Medicare billing to East Texas Community Health Services, Inc.. 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 (8), Obstetrics/Gynecology (5) and Certified Nurse Midwife (CNM) (3). Of these, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Texas Community Health Services, 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 Health Services, 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 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 East Texas Community Health Services, Inc. was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.