East Texas Community Health Service
East Texas Community Health Service is a federally qualified community health center based in Nacogdoches, TX, with 5 clinic locations in 2 cities. It served 13,933 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 13,933patients in 2025
- 37%uninsured patients
- 62%at or below the poverty line
- 104full-time-equivalent staff
Care offered: primary care, dental care, mental health care, children’s checkups, women’s health, and telehealth.
Who East Texas Community Health Service serves
62% of patients live at or below the poverty line and 94% are at or below twice that level. 37% have no insurance, 37% have Medicaid or CHIP, 5% have Medicare and 20% have private insurance. 64 patients were experiencing homelessness. 65 were veterans.
| Measure | This center | TX median | U.S. median | vs TX |
|---|---|---|---|---|
| Patients at or below the poverty line | 62% | 65% | 65% | −3 pts |
| Patients at or below 200% of the poverty line | 94% | 94% | 92% | In line |
| Measure | This center | TX median | U.S. median | vs TX |
|---|---|---|---|---|
| Uninsured patients | 37% | 32% | 14% | +5 pts |
| Medicaid or CHIP patients | 37% | 23% | 42% | +14 pts |
| Medicare patients | 5% | 9% | 11% | −4 pts |
| Privately insured patients | 20% | 30% | 24% | −10 pts |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 1,518 | patients had dental exams |
| Mental health care | 2,113 | patients treated for depression or anxiety |
| Well-child visits | 3,713 | children had checkups |
| Flu shots | 1,636 | patients vaccinated |
| Cervical cancer screening | 1,518 | patients tested |
| Breast cancer screening | 986 | patients screened |
| Family planning | 981 | patients served |
| Diabetes care | 1,577 | patients with diabetes |
| Blood pressure care | 2,705 | patients with hypertension |
| Asthma care | 560 | patients with asthma |
| HIV testing | 1,777 | patients tested |
| Hepatitis C testing | 1,386 | patients tested |
| Childhood lead tests | 19 | children tested |
Quality of care
East Texas Community Health Service is at or above the Texas median on 5 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | TX median | U.S. median | vs TX |
|---|---|---|---|---|
| Adults with high blood pressure under control | 71% | 67% | 68% | +5 pts |
| Women 52–74 screened for breast cancer | 57% | 48% | 54% | +9 pts |
| Women 24–64 screened for cervical cancer | 72% | 54% | 54% | +18 pts |
| Adults 46–75 screened for colorectal cancer | 31% | 40% | 44% | −8 pts |
| Patients 12+ screened for depression | 91% | 80% | 77% | +11 pts |
| Adults assessed for tobacco use | 95% | 89% | 86% | +6 pts |
| High-risk adults on statin therapy | 77% | 81% | 79% | −5 pts |
Staffing
104 full-time-equivalent staff work at East Texas Community Health Service, including 14 physicians, nurse practitioners, physician assistants and midwives. That is 996 patients per clinical provider, against the Texas median of 1,028 and the U.S. median of 930.
Where East Texas Community Health Service patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 75964 | 3,839 | 40% |
| 75961 | 2,287 | 32% |
| 75965 | 1,476 | 28% |
| 75904 | 1,297 | 37% |
| 75901 | 1,188 | 43% |
| 75935 | 607 | 39% |
| 75946 | 271 | 36% |
| 75972 | 262 | 33% |
East Texas Community Health Service locations
ETCHS LittleJacks Pediatrics
Eastside Community Clinic
East Texas Community Health Services
Other health centers in Texas
- AIDS Arms Inc.
- Matagorda Episcopal Health Outreach Program
- Centro San Vicente
- Community Health Development, Inc.
- Cross Timbers Health Clinic, Inc.
- Bee Busy Wellness Center
How fees work: the sliding-fee guide.