Organization · Type 2 NPI

Stephen F Austin Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Lake Jackson, TX

NPI number 1144905415 Active

Practice location

120 Flag Lake Dr Ste 2
Lake Jackson, TX 77566-6292

Call (281) 824-1480 Map

Fax (281) 220-6407

Mailing address

1612 Callaway Dr
Alvin, TX 77511-3743

Other practice locations

1111 W Adoue St, Alvin, TX 77511-2718 · (281) 824-1480

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

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

Another provider at this address

SCB Clinic, PLLCClinic/Center Lake Jackson, TX NPI 1558465286

Other federally qualified health center (fqhc) providers in Lake Jackson

See all in Lake Jackson →

NPI record

NPI: 1144905415
Entity type: Organization (Type 2)
Issued: Jun 15, 2023
Last updated: Nov 25, 2025
Status: Active

Other names

<unavail>
Mychn Lake Jackson · doing business as
Mychn Lakejackson · doing business as
Mychn Lakejackson · doing business as

Authorized official

Courtney Gaines
Credentialing Coordinator II
(281) 824-1480

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 1144905415

Stephen F Austin Community Health Center, Inc.'s National Provider Identifier is 1144905415, issued on Jun 15, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Jackson, TX. The record was last updated on Nov 25, 2025.