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LAVACA FAMILY HEALTH CLINIC
NPI 1871555409
Clinic/Center - Rural Health in Hallettsville, TX

Active since April 06, 2006CLIA 45D0693236 · Waiver
1406 N TEXANA ST, HALLETTSVILLE, TX 77964(361) 798-1200(361) 798-3128 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lavaca Family Health Clinic NPPES

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

LAVACA FAMILY HEALTH CLINIC (NPI 1871555409) is a healthcare organization registered as a rural health in Hallettsville, Texas and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack S Bowen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871555409
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAVACA HOSPITAL DISTRICT
Location Address1406 N TEXANA STHallettsville, TX 77964-2009
Mailing Address1406 N Texana StHallettsville, TX 77964-2009 · (361) 798-1200 · Fax (361) 798-3128
Phone(361) 798-1200
Fax(361) 798-3128
Organization SubpartNo
Authorized OfficialJack S BowenAdministrator · (361) 798-3671
Enumeration DateApril 6, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1871555409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1406 N TEXANA ST, Hallettsville, TX 77964
Open in Google Maps ↗

Other Names 1

Doing Business AsLavaca Family Health Clinic

Other Identifiers 1

Medicaid126884905TX

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 45D0693236

Lavaca Family Health Clinic · Hallettsville, TX
Active · expires Aug 31, 2026
CLIA Number45D0693236
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKeith Kutac
Laboratory Phone(361) 798-1200
Laboratory LocationLavaca Family Health Clinic1406 N Texana, Hallettsville, TX 77964
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

FORREST TIMOTHY KROSCHEL DDS
Dentist (General Practice)
1406 N TEXANA ST, SUITE F
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-4151
KELLY MATTHEW-GIL DPM
Podiatrist
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-3671
BENJAMIN LOUIS PSENCIK APRN, FNP-C
Nurse Practitioner (Family)
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-1200
LAUREN KELLY KUTAC RN, FNP-C
Nurse Practitioner (Family)
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-3671
DR. SUSAN L KRAEMER MD
Family Medicine
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-3671
CARLETON K THOMPSON M.D.
Internal Medicine (Gastroenterology)
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-3671
DR. FRANK SAUNDERS M.D.
Family Medicine
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-3671
LAVACA FAMILY HEALTH CLINIC
Family Medicine
1406 N TEXANA ST
HALLETTSVILLE, TX 77964
Lavaca County (361) 798-1200

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 Lavaca Hospital District's NPI number?

The NPI number for Lavaca Hospital District is 1871555409. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as Lavaca Family Health Clinic.

Where is Lavaca Hospital District located?

Lavaca Hospital District is located at 1406 N Texana St, Hallettsville, TX 77964. The listed phone number is (361) 798-1200.

What is Lavaca Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lavaca Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0693236) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lavaca Hospital District 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 Lavaca Hospital District 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 Lavaca Hospital District was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.