MEDICARE: COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396182739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Provider Business Mailing Address
First Line	:	204 E 1ST ST
Second Line	:
City	:	ALICE
State	:	TX
Zip	:	78332-4822
Country	:	US
Telephone Number	:	361-664-0145
Fax Number	:	361-664-2248

Provider Business Practice Location Address
First Line	:	213 S DUVAL ST
Second Line	:
City	:	MATHIS
State	:	TX
Zip	:	78368-2613
Country	:	US
Telephone Number	:	361-547-4121
Fax Number	:	361-384-4254

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ANN ELIZABETH AWALT
Credential	:
Telephone Number	:	361-664-0145

Provider Enumeration Date	:	05/24/2013
Last Update Date	:	06/09/2026

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Directions to “COMMUNITY ACTION CORPORATION OF SOUTH TEXAS ” Practice Location

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