EAST TEXAS COMMUNITY HEALTH SERVICES, INC. – Federally Qualified Health Center (FQHC), NPI 1255367090
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EAST TEXAS COMMUNITY HEALTH SERVICES, INC.
1401 S University Dr
Nacogdoches, TX 759616488
Phone: (936) 560-5413
Fax: (936) 552-7240
Type: Location
1401, South University Drive, Hayward Junction, Nacogdoches, Nacogdoches County, Texas, 75961, United States
NACOGDOCHES, TX 759616488
Phone: (936) 560-5413
Fax: (936) 552-7240
Type: Location
Box Lane, Nacogdoches County, Texas, 75937, United States
NACOGDOCHES, TX 759632040
Phone: (936) 560-5413
Fax: (936) 552-7240
Type: Mailing
1309 S UNIVERSITY DR
NACOGDOCHES, TX 759616486
Phone: (936) 560-5668
Fax: (936) 552-7240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
5
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040316001153 | O | Clinic/Group Practice | TX | 2025-10-31 |
| O20060726000167 | O | Federally Qualified Health Center (Fqhc) | TX | TBD |
| O20171013000917 | O | Federally Qualified Health Center (Fqhc) | TX | TBD |
| O20240802001679 | O | Federally Qualified Health Center (Fqhc) | TX | TBD |
| O20250123000522 | O | Federally Qualified Health Center (Fqhc) | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75961)
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