EAST TEXAS COMMUNITY CLINIC, INC.
NPI 1497568513
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, TX
About East Texas Community Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TEXAS COMMUNITY CLINIC, INC. (NPI 1497568513) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Texas and active in the NPI registry since January 2025. The organization lists Glen W Robison, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to East Texas Community Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinic, Inc.'s NPI number?
The NPI number for East Texas Community Clinic, Inc. is 1497568513. It was assigned to this organization in the NPPES registry on January 31, 2025.
Where is East Texas Community Clinic, Inc. located?
East Texas Community Clinic, Inc. is located at 400 E State Highway 243 Ste 18, Canton, TX 75103. The listed phone number is (903) 287-5011.
What is East Texas Community Clinic, 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 Clinic, Inc. enrolled in Medicare?
Yes. East Texas Community Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Community Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to East Texas Community Clinic, 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 Family Practice (7), Nurse Practitioner (2) and Osteopathic Manipulative Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Texas Community Clinic, 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 2 other insurers list East Texas Community Clinic, 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 Clinic, Inc. was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# East Texas Community Clinic, Inc. · NPI 1497568513
Federally Qualified Health Center (FQHC) organization in Canton, Texas. Organization record, active in the CMS NPPES registry since January 31, 2025.
## Identity
- **NPI:** 1497568513 (Entity type: Organization)
- **Enumerated:** January 31, 2025
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** East Texas Community Clinic, Inc. (Former Legal Business Name)
- **Organization subpart:** Yes (part of East Texas Community Clinic, Inc.)
- **Authorized official:** Glen Robison, CEO
## Practice location
- **Address:** 400 E STATE HIGHWAY 243 STE 18, Canton, TX 75103-2445
- **Phone:** (903) 287-5011 · **Fax:** (903) 802-7125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (2), Osteopathic Manipulative Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1497568513) · Data from the CMS NPPES public registry.