Organization · Type 2 NPI

Navarro County Ambulatory Care Association

Federally Qualified Health Center (FQHC) · Corsicana, TX

NPI number 1124782875 Active

Practice location

618 N Main St
Corsicana, TX 75110-3028

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Emily M. Meister, ANPPediatric Nurse Practitioner Corsicana, TX NPI 1689607475
Ida Pearl Reynolds, P.N.P.Pediatric Nurse Practitioner Corsicana, TX NPI 1821026196
Janquilyn Driver Merida, DNPNurse Practitioner Corsicana, TX NPI 1740304427
Lori Ann Vicsek, FNPFamily Nurse Practitioner Corsicana, TX NPI 1982904876

NPI record

NPI: 1124782875
Entity type: Organization (Type 2)
Issued: Oct 28, 2021
Last updated: Feb 12, 2025
Status: Active

Other names

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DR Kent E. Rogers Clinic · doing business as
Navarro County Ambulatory Care Association · former legal business name

Authorized official

Marty R. Summerall
CEO
(903) 851-0727

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124782875

Navarro County Ambulatory Care Association's National Provider Identifier is 1124782875, issued on Oct 28, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Corsicana, TX. The record was last updated on Feb 12, 2025.