# HEALTH AND HUMAN SERVICES COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas DSHS- Rio Grande State Center STHCS, Rio Grande State Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245303502
- **Authorized official:** JANA JOHNSON (PROGRAM SUPERVISOR VI)
- **Authorized official phone:** (512) 438-3124

## Contact information

- **Practice address:** 1401 S RANGERVILLE RD, HARLINGEN, TX 78552-7638
- **Practice address phone:** (956) 425-8900
- **Practice address fax:** (210) 531-8172
- **Mailing address:** PO BOX 2668, HARLINGEN, TX 78551-2668
- **Mailing address phone:** (956) 425-8900
- **Mailing address fax:** (210) 531-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 07/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0212193-01 | — | TX |
| 05 | — | 0212193-03 | — | TX |
| 05 | — | 02312193-02 | — | TX |
| 05 | — | 0845315-01 | — | TX |
| 01 | — | 4521642 | PHARMACY NCPDP NUMBER | TX |
| 01 | — | HH3020 | BCBS DRUG ALCOHOL | TX |
| 01 | — | HH4992 | BCBS PSYCHIATRIC | TX |