HUNTSVILLE CLINIC, INC
NPI 1265615462
Clinic/Center - Methadone in Huntsville, TX

Active since December 11, 2007CLIA 45D1089021 · Waiver
829 10TH ST, HUNTSVILLE, TX 77320(936) 291-9172(936) 291-7156 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Huntsville Clinic, Inc NPPES

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

HUNTSVILLE CLINIC, INC (NPI 1265615462) is a healthcare organization registered as a methadone in Huntsville, Texas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Stacey Rae Harris, Ceo/program Sponsor, as its authorized official.

NPPES Registry Identity

NPI1265615462
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameHUNTSVILLE CLINIC, INC
Location Address829 10TH STHuntsville, TX 77320-4721
Mailing Address829 10th StHuntsville, TX 77320-4721 · (936) 291-9172
Fax(936) 291-7156
Organization SubpartNo
Authorized OfficialStacey Rae HarrisCeo/program Sponsor · (936) 524-2140
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 20, 2012
NPI 1265615462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in TX · TX10096M
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
829 10TH ST, Huntsville, TX 77320

Other Identifiers 1

Medicare UPING00249TX

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 45D1089021

Huntsville Clinic, Inc Dba Conroe Treatment And Recovery Center · Conroe, TX
Active · expires Sep 8, 2026
CLIA Number45D1089021
Laboratory TypeOther
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorKeegan M. Harris
Laboratory Phone(936) 291-9172
Laboratory LocationHuntsville Clinic, Inc Dba Conroe Treatment And Recovery Center501 Everett Street, Conroe, TX 77301
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 Huntsville Clinic, Inc's NPI number?

The NPI number for Huntsville Clinic, Inc is 1265615462. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Huntsville Clinic, Inc located?

Huntsville Clinic, Inc is located at 829 10th St, Huntsville, TX 77320. The listed phone number is (936) 291-9172.

What is Huntsville Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Huntsville Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1089021) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Huntsville Clinic, Inc was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.