MEDICARE: BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.

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	1568519122	OTHER	TX	NPI L
2	1700973187	OTHER	TX	NPI G
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1750470084	OTHER	TX	NPI M
6	1912056730	OTHER	TX	NPI PHARM
7	1275726853	OTHER	TX	NPI CS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	1275620551	OTHER	TX	NPI ROBERTSON CHC
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	1649265646	OTHER	TX	NPI BCS
14	1407163660	OTHER	TX	ROCK PRAIRIE FAMILY MEDICINE AND OBSTETRICS-NPI
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	1043527476	OTHER	TX	COLLEGE STATION FAMILY MEDICINE CLINIC - NPI
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821185299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.

Provider Business Mailing Address
First Line	:	1500 UNIVERSITY DR E
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-2600
Country	:	US
Telephone Number	:	979-810-8148
Fax Number	:	979-260-9390

Provider Business Practice Location Address
First Line	:	1500 UNIVERSITY DR E
Second Line	:	#100
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-2600
Country	:	US
Telephone Number	:	979-846-1100
Fax Number	:	979-260-9390

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	AMANDA KIRKLAND
Credential	:
Telephone Number	:	979-596-5852

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	02/19/2025

Similar Medicare Providers

1548265184 — MR. RENATO O. ANG M.D.
Practice Location Address:

1500 UNIVERSITY DR E
COLLEGE STATION, TX
77840-2600

Practice Phone: 979-693-7400
Practice Fax:

1982673083 — MRS. MARYANN MIYUN CHOI I M.D.
Practice Location Address:

1500 UNIVERSITY DR E STE 100
COLLEGE STATION, TX
77840-2600

Practice Phone: 979-383-2340
Practice Fax:

1932817392 — SARAH LEVERONI LCSW
Practice Location Address:

1500 UNIVERSITY DR E STE 100
COLLEGE STATION, TX
77840-2600

Practice Phone: 979-383-2340
Practice Fax:

1629196365 — MISS SALLY ANN MARKS MSED, ATL, ATC
Practice Location Address:

9414 ATLEE STATION ROAD
MECHANICSVILLE, VA
23116-2600

Practice Phone: 804-723-2100
Practice Fax:

1861806267 — MICHAEL HOFFNER
Practice Location Address:

4515 NESCONSET HWY
PORT JEFFERSON STATION, NY
11776-2600

Practice Phone: 631-240-3471
Practice Fax:

1750898946 — SMITHS STATION FIRE AND RESCUE
Practice Location Address:

50 LEE ROAD 430
SMITHS STATION, AL
36877-2600

Practice Phone: 334-947-0911
Practice Fax: 334-947-0912

Directions to “BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.