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GATEWAY COMMUNITY HEALTH CENTER INC. NPI 1184643256


NPI Information

NPI: 1184643256
Provider Name: GATEWAY COMMUNITY HEALTH CENTER, INC.

Doing Business As: GATEWAY COMMUNITY HEALTH CENTER, INC. QUAD CITY COMMUNITY CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1515 PAPPAS ST
1515 PAPPAS ST
LAREDO, TX
ZIP 78041
Phone: (956) 523-3642
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GATEWAY COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Laredo, TX. GATEWAY COMMUNITY HEALTH CENTER, INC. NPI is 1184643256. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Community Health Center, Inc. Quad City Community Center.

The provider's business location address is:

1515 PAPPAS ST
1515 PAPPAS ST
LAREDO, TX
ZIP 78041-705
Phone: (956) 523-3642
Fax: (956) 718-6294

The provider's authorized official is Miguel Trevino .
The authorized official title is Ceo and has the following contact phone number (956) 523-3646.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/27/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1451961MEDICARE OSCAR/CERTIFICATIONTEXAS
21013948447OTHERTEXASNPI FOR MEDICARE NUMBER 451961
31922020015MEDICAIDTEXAS
4092953101MEDICAIDTEXAS

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: 11/14/2023

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