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EL CENTRO DEL BARRIO INC. NPI 1669741013


NPI Information

NPI: 1669741013
Provider Name: EL CENTRO DEL BARRIO, INC.

Doing Business As: CENTROMED PHARMACY- WALZEM

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5542 WALZEM RD.
SAN ANTONIO, TX
ZIP 78221
Phone: (210) 637-2420
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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 1669741013. The provider is registered as an organization entity type.
The provider Is Doing Business As Centromed Pharmacy- Walzem.

The provider's business location address is:

5542 WALZEM RD.
SAN ANTONIO, TX
ZIP 78221-117
Phone: (210) 637-2420
Fax: (210) 637-2424

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 12/14/2011 and was last updated on 12/14/2011.


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
13336C0002XPharmacyClinic PharmacyH80CS007581002TEXASNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)H80CS007581002TEXASYes

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
1120980102MEDICAIDTEXAS
200MT08MEDICARE OSCAR/CERTIFICATIONTEXAS
3671807MEDICARE PINTEXAS
4120980103MEDICAIDTEXAS
500MT08OTHERTEXASGROUP MEDICARE
6192233801MEDICAIDTEXAS
7120980101MEDICAIDTEXAS

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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