LA ESPERANZA CLINIC INC NPI 1770584187

NPI Information

NPI: 1770584187
Provider Name: LA ESPERANZA CLINIC INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-5339
Get Directions

LA ESPERANZA CLINIC INC is a federally qualified health center (fqhc) clinic center in San Angelo, TX. LA ESPERANZA CLINIC INC NPI is 1770584187. The provider is registered as an organization entity type.

The provider's business location address is:

1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903-510
Phone: (325) 658-5339
Fax: (325) 659-8534

The provider's authorized official is Rosie Castaneda .
The authorized official title is Cfo and has the following contact phone number (325) 947-5623.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111604802	MEDICAID	TEXAS
2	00433T	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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