VICTORY LAKES FAMILY CARE
NPI 1881101483
Clinic/Center - Federally Qualified Health Center (FQHC) in League City, TX

Q: What is Stephen F Austin Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 04, 2018CLIA 45D2151249 · Waiver

2360 GULF FWY S, STE 100C, LEAGUE CITY, TX 77573(281) 824-1480(281) 220-6407 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Oct 3, 2023, Mar 3, 2023 and 7 more (10 updates tracked since 2019).

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About Victory Lakes Family Care NPPES

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

VICTORY LAKES FAMILY CARE (NPI 1881101483) is a healthcare organization registered as a federally qualified health center (fqhc) in League City, Texas and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Brandy Renee Smith, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1881101483

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSTEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC

Location Address2360 GULF FWY S, STE 100CLeague City, TX 77573-6448

Mailing Address2360 Gulf Fwy S, Ste 100cLeague City, TX 77573-6448 · (281) 824-1480 · Fax (281) 220-6407

Phone(281) 824-1480

Fax(281) 220-6407

Organization SubpartYes

Authorized OfficialBrandy Renee SmithCredentialing Coordinator · (281) 824-1480

Enumeration DateJanuary 4, 2018

Last NPPES UpdateMarch 26, 202410 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1881101483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

2360 GULF FWY S, League City, TX 77573

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Other Names 1

Doing Business AsVictory Lakes Family Care

Other Identifiers 2

Other45D2151249TX · Clia

Medicaid399363601TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 45D2151249

Victory Lakes Family Care · League City, TX

Active · expires Jul 15, 2028

CLIA Number45D2151249

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJuly 16, 2026

Certificate Expiration DateJuly 15, 2028

Laboratory DirectorKokab Saeed

Laboratory Phone(281) 824-1480

Laboratory LocationVictory Lakes Family Care2360 Gulf Fwy S Ste 100C, League City, TX 77573

CLIA data matches this NPI record on: Address 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 Stephen F Austin Community Health Center, Inc's NPI number?

The NPI number for Stephen F Austin Community Health Center, Inc is 1881101483. It was assigned to this organization in the NPPES registry on January 4, 2018. The provider is doing business as Victory Lakes Family Care.

Where is Stephen F Austin Community Health Center, Inc located?

Stephen F Austin Community Health Center, Inc is located at 2360 Gulf Fwy S Ste 100C, League City, TX 77573. The listed phone number is (281) 824-1480.

What is Stephen F Austin Community Health Center, 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 Stephen F Austin Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2151249) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stephen F Austin Community Health Center, 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 4 other insurers list Stephen F Austin Community Health Center, 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 Stephen F Austin Community Health Center, Inc was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.