East Texas Community Clinic, Inc.
NPI 1215522974 · Federally Qualified Health Center (FQHC) · Athens, TX
East Texas Community Clinic, Inc. is a Federally Qualified Health Center (FQHC) organization in Athens, TX (NPI 1215522974).
Provider details
- NPI number
- 1215522974
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glen Robison, Ceo(903) 603-9851
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is East Texas Community Clinic, Inc.'s NPI number?
- East Texas Community Clinic, Inc.'s National Provider Identifier (NPI) is 1215522974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Community Clinic, Inc.?
- East Texas Community Clinic, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is East Texas Community Clinic, Inc. located?
- East Texas Community Clinic, Inc.'s practice location on file with NPPES is 115 Medical Cir Ste 100, Athens, TX 75751-9004.
- What is East Texas Community Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Texas Community Clinic, Inc. is (903) 603-7067.
- Who is the authorized official for East Texas Community Clinic, Inc.?
- The authorized official listed on East Texas Community Clinic, Inc.'s NPPES record is Glen Robison, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Community Clinic, Inc.'s NPI active?
- Yes — East Texas Community Clinic, Inc.'s NPI (1215522974) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.