Provider Type Icon

EL CENTRO DEL BARRIO NPI 1316126675


NPI Information

NPI: 1316126675
Provider Name: EL CENTRO DEL BARRIO

Doing Business As: CENTROMED

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3750 COMMERCIAL AVE
SAN ANTONIO, TX
ZIP 78221
Phone: (210) 334-3700
Get Directions

EL CENTRO DEL BARRIO is a federally qualified health center (fqhc) clinic center in San Antonio, TX. EL CENTRO DEL BARRIO NPI is 1316126675. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centromed.

The provider's business location address is:

3750 COMMERCIAL AVE
SAN ANTONIO, TX
ZIP 78221-117
Phone: (210) 334-3700
Fax: (210) 922-0162

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 11/2/2007 and was last updated on 7/16/2009.


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
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineHBOCS00758-04-00TEXASNo
3208M00000XHospitalistHBOCS00758-04-00TEXASNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)HBOCS00758-04-00TEXASYes

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
1120980101MEDICAIDTEXAS
28G8244OTHERTEXASBCBS
3120980102MEDICAIDTEXAS
4120980103MEDICAIDTEXAS
5120980105MEDICAIDTEXAS
600MT08MEDICARE OSCAR/CERTIFICATIONTEXAS
7188815801MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.