EL CENTRO DEL BARRIO INC. NPI 1760556773

NPI Information

NPI: 1760556773
Provider Name: EL CENTRO DEL BARRIO, INC.

Doing Business As: CENTROMED WALZEM CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5542 WALZEM RD
SAN ANTONIO, TX
ZIP 78239
Phone: (210) 637-2450
Get Directions

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 1760556773. The provider is registered as an organization entity type.
The provider Is Doing Business As Centromed Walzem Clinic.

The provider's business location address is:

5542 WALZEM RD
SAN ANTONIO, TX
ZIP 78239
Phone: (210) 637-2450
Fax: (210) 590-8970

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 11/20/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	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	120980102	MEDICAID	TEXAS
4	671807	MEDICARE OSCAR/CERTIFICATION	TEXAS
5	G60232-04	OTHER	TEXAS	DELTA DENTAL
6	192233801	MEDICAID	TEXAS
7	120980101	MEDICAID	TEXAS
8	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

NPI Synchronization or Removal

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