El Centro Del Barrio, Inc, NPI 1124313804
Federally Qualified Health Center (FQHC) in San Antonio, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124313804
NPI Entity Type Organization
Provider Name El Centro Del Barrio, Inc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3127 Se Military Dr, Suite 101, San Antonio, TX, US
Provider Mailing Address 3750 Commercial Ave, San Antonio, TX, US, 782213117
Is Sole Proprietor? No
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Organization Official

Official Name Chuck Walzel
Official Position CFO
Phone 210-334-3724

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Other Organization Name

CentroMed City Base Clinic
Former Legal Business Name

Business Address

El Centro Del Barrio, Inc
3127 Se Military Dr
Suite 101

San Antonio, TX, US

Phone: 210-928-4970
Fax: 210-928-4999

Mailing Address

El Centro Del Barrio, Inc
3750 Commercial Ave
San Antonio, TX, US
ZIP 782213117
Phone: 210-334-3700
Fax: 210-922-0162

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
120980102 TX MEDICAID 05
120980101 TX MEDICAID 05

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DR. DDS Blessing Alagba

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Jessica Hooson, Lcsw, P.l.l.c.

Organization

Community/Behavioral Health Agency

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