LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1891460903
Clinic/Center - Federally Qualified Health Center (FQHC) in Houston, TX

Active since August 11, 2021CLIA 45D2229703 · Waiver
12751 HILLCROFT ST, HOUSTON, TX 77085(832) 548-5000 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2025, May 10, 2023, Oct 4, 2021 and 1 more (4 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 1891460903) is a healthcare organization registered as a federally qualified health center (fqhc) in Houston, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Robert P Palussek, Coo, as its authorized official.

NPPES Registry Identity

NPI1891460903
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY COMMUNITY HEALTH SERVICES, INC
Location Address12751 HILLCROFT STHouston, TX 77085-1361
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5000
Organization SubpartNo
Authorized OfficialRobert P PalussekCoo · (832) 548-5000
Enumeration DateAugust 11, 2021
Last NPPES UpdateJanuary 8, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1891460903 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
12751 HILLCROFT ST, Houston, TX 77085

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2229703
Facility Type
Federally Qualified Health Center
Certificate Effective Date
July 15, 2025
Certificate Expiration Date
July 14, 2027
Laboratory Director
SUSANNA BLANCHARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Legacy Community Health Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
12751 HILLCROFT ST
HOUSTON, TX 77085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891460903, enumerated as an "organization" on August 11, 2021.

The provider is located at 12751 HILLCROFT ST HOUSTON, TX 77085 and the phone number is (832) 548-5000.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.