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LEGACY COMMUNITY HEALTH SERVICES, INC
NPI 1932694122
Clinic/Center - Federally Qualified Health Center (FQHC) in Beaumont, TX

Active since June 29, 2018CLIA 45D2151662 · Waiver
3455 STAGG DR, BEAUMONT, TX 77701(832) 548-5000(713) 559-3255 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 8, 2025, Oct 4, 2021, Jun 29, 2018 (3 updates tracked since 2018).

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 1932694122) is a healthcare organization registered as a federally qualified health center (fqhc) in Beaumont, Texas and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Robert Peter Palussek, Coo, as its authorized official.

NPPES Registry Identity

NPI1932694122
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY COMMUNITY HEALTH SERVICES, INC
Location Address3455 STAGG DRBeaumont, TX 77701-4521
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5000 · Fax (713) 559-3256
Phone(832) 548-5000
Fax(713) 559-3255
Organization SubpartNo
Authorized OfficialRobert Peter PalussekCoo · (832) 548-5000
Enumeration DateJune 29, 2018
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1932694122 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
3455 STAGG DR, Beaumont, TX 77701
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 45D2151662

Legacy Community Health Services - Central Stagg · Beaumont, TX
Active · expires Oct 30, 2026
CLIA Number45D2151662
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorUchenna Conley
Laboratory Phone(409) 833-8850
Laboratory LocationLegacy Community Health Services - Central Stagg3455 Stagg Drive, Beaumont, TX 77701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

GEORGE E GROVES M.D.
Psychiatry & Neurology (Psychiatry)
3455 STAGG DR
BEAUMONT, TX 77701
Jefferson County (832) 548-5000
JNJM ENTERPRISE
Clinic/Center
3455 STAGG DR, SUITE 100
BEAUMONT, TX 77701
Jefferson County (281) 684-8535
RAMONA AALYN LPC
Counselor (Professional)
3455 STAGG DR
BEAUMONT, TX 77701
Jefferson County (832) 548-5000
MRS. ROSE BROOKS STUTES M.ED., LPC
Counselor (Professional)
3455 STAGG DR
BEAUMONT, TX 77701
Jefferson County (832) 548-0000
SHARDA J. DOSHI M.D.
Pediatrics
3455 STAGG DR
BEAUMONT, TX 77701
Jefferson County (832) 548-5000
UMA MAHESH KANOJIA M.D.
Pediatrics
3455 STAGG DR, STE 101
BEAUMONT, TX 77701
Jefferson County (409) 835-2082
BEAUMONT CANCER INSTITUTE, P.A.
Specialist
3455 STAGG DR, SUITE 102
BEAUMONT, TX 77701
Jefferson County (409) 813-1974
ANDREA OWENS CPNP
Nurse Practitioner (Pediatrics)
3455 STAGG DR
BEAUMONT, TX 77701
Jefferson 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 1932694122. It was assigned to this organization in the NPPES registry on June 29, 2018.

Where is Legacy Community Health Services, Inc located?

Legacy Community Health Services, Inc is located at 3455 Stagg Dr, Beaumont, TX 77701. 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 45D2151662) is associated with this NPI, valid through October 30, 2026. 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 1 other insurer 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 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.