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EL CENTRO DEL BARRIO INC. NPI 1730388018


NPI Information

NPI: 1730388018
Provider Name: EL CENTRO DEL BARRIO, INC.

Doing Business As: PALO ALTO CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
9011 POTEET JOURDANTON FWY
SAN ANTONIO, TX
ZIP 78224
Phone: (210) 921-6010
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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 1730388018. The provider is registered as an organization entity type.
The provider Is Doing Business As Palo Alto Clinic.

The provider's business location address is:

9011 POTEET JOURDANTON FWY
SAN ANTONIO, TX
ZIP 78224-124
Phone: (210) 921-6010
Fax: (210) 921-6188

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 7/16/2007 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
1261QF0400XClinic/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
100MT08OTHERTEXASGROUP MEDICARE
2120980102MEDICAIDTEXAS
3120980101MEDICAIDTEXAS
4120980105MEDICAIDTEXAS
5189778701MEDICAIDTEXAS
6120980103MEDICAIDTEXAS
7671864MEDICARE OSCAR/CERTIFICATIONTEXAS

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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