Provider Demographics
NPI:1821161167
Name:HEALTH AND HUMAN SERVICES COMMISSION
Entity Type:Organization
Organization Name:HEALTH AND HUMAN SERVICES COMMISSION
Other - Org Name:TEXAS DSHS- RIO GRANDE STATE CENTER STHCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-913-1580
Mailing Address - Street 1:701 W 51ST ST # MC-E619
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2312
Mailing Address - Country:US
Mailing Address - Phone:512-438-5618
Mailing Address - Fax:512-438-4220
Practice Address - Street 1:1401 S RANGERVILLE ROAD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-7638
Practice Address - Country:US
Practice Address - Phone:956-364-8000
Practice Address - Fax:956-364-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283Q00000X, 315P00000X, 3336I0012X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0212193-01Medicaid
TX021219303Medicaid
TX4521642OtherPHARMACY NCPDP NUMBER
TXHH4992OtherBCBS PSYCHIATRIC
TX0845315-01Medicaid
TX0212193-02Medicaid
TXHH3020OtherBCBS DRUG ALCOHOL
TX4521642OtherPHARMACY NCPDP NUMBER
TX454088Medicare PIN