EL CENTRO DEL BARRIO INC NPI 1124313804

NPI Information

NPI: 1124313804
Provider Name: EL CENTRO DEL BARRIO, INC

Former Legal Business Name: CENTROMED CITY BASE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3127 SE MILITARY DR
SUITE 101
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 928-4970
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EL CENTRO DEL BARRIO, INC is a federally qualified health center (fqhc) clinic center in San Antonio, TX. EL CENTRO DEL BARRIO, INC NPI is 1124313804. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Centromed City Base Clinic.

The provider's business location address is:

3127 SE MILITARY DR
SUITE 101
SAN ANTONIO, TX
ZIP 78223-990
Phone: (210) 928-4970
Fax: (210) 928-4999

The provider's authorized official is Chuck Walzel .
The authorized official title is Cfo and has the following contact phone number (210) 334-3724.

The enumeration date for this NPI number is 6/10/2011 and was last updated on 5/10/2012.

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)			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
1	00MT08	MEDICARE PIN	TEXAS
2	120980101	MEDICAID	TEXAS
3	120980102	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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