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SU CLINICA FAMILIAR NPI 1871516807


NPI Information

NPI: 1871516807
Provider Name: SU CLINICA FAMILIAR
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D0503850

Address:
131 FM 3168
RAYMONDVILLE, TX
ZIP 78580
Phone: (956) 689-2196
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SU CLINICA FAMILIAR is a federally qualified health center (fqhc) clinic center in Raymondville, TX. SU CLINICA FAMILIAR NPI is 1871516807. The provider is registered as an organization entity type.

The provider's business location address is:

131 FM 3168
RAYMONDVILLE, TX
ZIP 78580-605
Phone: (956) 689-2196
Fax: (956) 689-5937

The provider's authorized official is Adam Saldivar .
The authorized official title is Cfo and has the following contact phone number (956) 365-6750.

The CLIA number assigned to this NPI record is 45D0503850 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/22/2020.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.