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LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1407516677
Clinic/Center - Federally Qualified Health Center (FQHC) in Stafford, TX

Active since December 29, 2021CLIA 45D2223196 · Waiver
12540 SUGARDALE DR, STAFFORD, TX 77477(832) 548-5000(713) 559-3001 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Dec 29, 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 1407516677) is a healthcare organization registered as a federally qualified health center (fqhc) in Stafford, Texas and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Robert Peter Palussek, Coo, as its authorized official.

NPPES Registry Identity

NPI1407516677
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY COMMUNITY HEALTH SERVICES, INC
Location Address12540 SUGARDALE DRStafford, TX 77477-3702
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5000 · Fax (713) 559-3001
Phone(832) 548-5000
Fax(713) 559-3001
Organization SubpartNo
Authorized OfficialRobert Peter PalussekCoo · (832) 548-5000
Enumeration DateDecember 29, 2021
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1407516677 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
12540 SUGARDALE DR, Stafford, TX 77477
Open in Google Maps ↗

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 45D2223196

Legacy Community Health - Stafford Fountains · Stafford, TX
Active · expires May 3, 2027
CLIA Number45D2223196
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorHillary Boswell
Laboratory Phone(713) 814-3525
Laboratory LocationLegacy Community Health - Stafford Fountains12540 Sugardale Drive, Stafford, TX 77477
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 2

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

ALEXANDRA A SIBLEY MD
Psychiatry & Neurology (Psychiatry)
12540 SUGARDALE DR
STAFFORD, TX 77477
Fort Bend County (601) 815-1368
WENDY NDIONU FRAZER APRN- CNM
Advanced Practice Midwife
12540 SUGARDALE DR
STAFFORD, TX 77477
Fort Bend County (832) 548-5000

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 1407516677. It was assigned to this organization in the NPPES registry on December 29, 2021.

Where is Legacy Community Health Services, Inc located?

Legacy Community Health Services, Inc is located at 12540 Sugardale Dr, Stafford, TX 77477. 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 45D2223196) is associated with this NPI, valid through May 3, 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 2 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 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.