LEGACY COMMUNITY HEALTH SERVICES, INC – Federally Qualified Health Center (FQHC), NPI 1679524961

LEGACY COMMUNITY HEALTH SERVICES, INC is a healthcare provider. based in Houston, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for LEGACY COMMUNITY HEALTH SERVICES, INC is 1679524961

Main info

Organization
Name
LEGACY COMMUNITY HEALTH SERVICES, INC
NPI
1679524961
Phone
(832) 548-5000
Address
PO BOX 66308
Authorized Official
ROBERT PALUSSEK COO MD
Enumeration Date
12 May 2006
Last Update Date
8 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for LEGACY COMMUNITY HEALTH SERVICES, INC

  • Houston Court, Box Hill South, City of Whitehorse, Victoria, 3128, Australia

    HOUSTON, TX 772666308

    Phone: (832) 548-5000

    Fax: (713) 559-3255

    Type: Mailing

  • 1415, California Street, Houston, Harris County, Texas, 77006, United States

    HOUSTON, TX 770062602

    Phone: (832) 548-5000

    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: 2011-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

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
O20041101000585OFederally Qualified Health Center (Fqhc)TXTBD
O20110706000516OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 77266)

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Reviews

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Frequently asked questions

How is LEGACY COMMUNITY HEALTH SERVICES, INC identified in CMS data?
CMS-hosted NPPES data lists LEGACY COMMUNITY HEALTH SERVICES, INC with NPI 1679524961.
Is LEGACY COMMUNITY HEALTH SERVICES, INC listed as active for patients and plans?
The listing shows LEGACY COMMUNITY HEALTH SERVICES, INC as active in the NPI system.
What is LEGACY COMMUNITY HEALTH SERVICES, INC's specialty?
The listing groups LEGACY COMMUNITY HEALTH SERVICES, INC with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is LEGACY COMMUNITY HEALTH SERVICES, INC based?
LEGACY COMMUNITY HEALTH SERVICES, INC is tied to Houston, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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