Galveston Integrated Health Clinic – Federally Qualified Health Center (FQHC), NPI 1336691096

Galveston Integrated Health Clinic is a healthcare provider. based in Galveston, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Galveston Integrated Health Clinic is 1336691096

Main info

Organization
Name
Galveston Integrated Health Clinic
NPI
1336691096
Phone
(281) 824-1480
Address
123 ROSENBERG ST
Authorized Official
MR. MARK YOUNG CEO
Enumeration Date
28 October 2016
Last Update Date
22 January 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:9State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Galveston Integrated Health Clinic

  • 123 ROSENBERG ST

    4TH FLOOR

    GALVESTON, TX 775501494

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Type: Location

  • 1111, West Adoue Street, Alvin, Brazoria County, Texas, 77511, United States

    ALVIN, TX 775112718

    Phone: (281) 824-1480

    Fax: (281) 220-6407

    Type: Mailing

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: 2017-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (70 days ago).

Enrollment records

1

Earliest due date

2026-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20171116001849OFederally Qualified Health Center (Fqhc)TX2026-03-31

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.

Verify on CMS Revalidation Lookup Tool

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 77550)

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Reviews

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Frequently asked questions

What is the registry number for Galveston Integrated Health Clinic?
The registry entry for Galveston Integrated Health Clinic shows NPI 1336691096.
Does the public listing show Galveston Integrated Health Clinic as active?
Galveston Integrated Health Clinic's NPI record reflects an active status in NPPES.
Which specialty label fits Galveston Integrated Health Clinic?
NPPES ties Galveston Integrated Health Clinic to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Galveston Integrated Health Clinic?
Galveston Integrated Health Clinic is associated with Galveston, Texas in the same public data insurers reference.
Why is information missing for Galveston Integrated Health Clinic?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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