EL CENTRO DEL BARRIO INC. NPI 1699841569

NPI Information

NPI: 1699841569
Provider Name: EL CENTRO DEL BARRIO, INC.

Doing Business As: CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
315 N SAN SABA
SUITE # 103
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 922-7000
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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 1699841569. The provider is registered as an organization entity type.
The provider Is Doing Business As Centromed Santa Rosaclinic/ryran White Clinic.

The provider's business location address is:

315 N SAN SABA
SUITE # 103
SAN ANTONIO, TX
ZIP 78207-154
Phone: (210) 922-7000
Fax: (210) 924-1374

The provider's authorized official is Chuck Walzel .
The authorized official title is Vp/cfo and has the following contact phone number (210) 334-3724.

The CLIA number assigned to this NPI record is 45D1036088 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/24/2006 and was last updated on 10/25/2019.

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	261Q00000X	Clinic/Center		HBOCS00758-04-00	TEXAS	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	HBOCS00758-04-00	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	120980105	MEDICAID	TEXAS
2	00MT08	OTHER	TEXAS	GROUP MEDICARE
3	120980101	MEDICAID	TEXAS
4	120980102	MEDICAID	TEXAS
5	120980103	MEDICAID	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

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