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EL CENTRO DEL BARRIO INC. NPI 1356562680


NPI Information

NPI: 1356562680
Provider Name: EL CENTRO DEL BARRIO, INC.

Doing Business As: RESIDENTIAL TREATMENT CENTER CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4040 HIGH RIDGE CIR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 212-2525
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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 1356562680. The provider is registered as an organization entity type.
The provider Is Doing Business As Residential Treatment Center Clinic.

The provider's business location address is:

4040 HIGH RIDGE CIR
SAN ANTONIO, TX
ZIP 78229-143
Phone: (210) 212-2525
Fax: (210) 340-5022

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 5/2/2007 and was last updated on 1/26/2010.


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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)HBOCS00-04-00TEXASNo
2261QF0400XClinic/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
2120980105MEDICAIDTEXAS
300MT08OTHERTEXASGROUP MEDICARE
4120980103MEDICAIDTEXAS
5120980102MEDICAIDTEXAS

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

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