PROJECT VIDA HEALTH CENTER NPI 1992284871

NPI Information

PROJECT VIDA HEALTH CENTER is a federally qualified health center (fqhc) clinic center in El Paso, TX. PROJECT VIDA HEALTH CENTER NPI is 1992284871. The provider is registered as an organization entity type.
The provider Is Doing Business As Pebble Hills High School.

The provider's business location address is:

14400 PEBBLE HILLS BLVD
EL PASO, TX
ZIP 79938-652
Phone: (915) 533-7057
Fax: (915) 440-2919

The provider's authorized official is William David Schlesinger .
The authorized official title is Ceo and has the following contact phone number (915) 533-7057.

The CLIA number assigned to this NPI record is 45D1097797 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2018 and was last updated on 8/10/2018.

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:

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