EL CENTRO DEL BARRIO INC NPI 1467592683

NPI Information

NPI: 1467592683
Provider Name: EL CENTRO DEL BARRIO INC

Doing Business As: CENTROMED PHARMACY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
918 WAGNER
SAN ANTONIO, TX
ZIP 78211
Phone: (210) 932-3500
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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 1467592683. The provider is registered as an organization entity type.
The provider Is Doing Business As Centromed Pharmacy.

The provider's business location address is:

918 WAGNER
SAN ANTONIO, TX
ZIP 78211-218
Phone: (210) 932-3500
Fax: (210) 924-6778

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 2/7/2007 and was last updated on 11/3/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	HBOCS007580400	TEXAS	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	HBOCS007580400	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	120980101	MEDICAID	TEXAS
2	120980102	MEDICAID	TEXAS
3	120980103	MEDICAID	TEXAS
4	4587537	OTHER	TEXAS	NABP
5	00MT08	MEDICARE OSCAR/CERTIFICATION	TEXAS
6	00MT08	OTHER	TEXAS	GROUP MEDICARE
7	451831	MEDICARE PIN	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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