EL CENTRO DEL BARRIO, INC (NPI# 1275907727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275907727 |
| Entity Type | Organization |
| Organization Name | EL CENTRO DEL BARRIO, INC |
| Other Organization Name | CENTROMED MEDINA BASE CLINIC |
| Practice Address |
5750 Medina Base Rd San Antonio TX 78242-1708 |
| Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
| Practice Telephone | 2103343700 |
| Practice Fax Number | 2109220162 |
| Mailing Telephone | 2103343711 |
| Mailing Fax Number | 2109220162 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | MR. CHUCK WALZEL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2103343724 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CENTROMED MEDINA BASE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313804 | El Centro Del Barrio, Inc | Clinic/Center | 3127 Se Military Dr, Suite 101, San Antonio, TX 78223-3990 | 2011-06-10 |
| 1841433562 | El Centro Del Barrio, Inc | Clinic/Center | 1 Haven for Hope Way Bldg1 #300, San Antonio, TX 78207-1108 | 2009-04-10 |
| 1073168811 | El Centro Del Barrio, Inc | Clinic/Center | 7333 Barlite Blvd Ste 380, San Antonio, TX 78224-1359 | 2019-08-08 |
| 1013562842 | El Centro Del Barrio, Inc | Clinic/Center | 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 | 2019-08-08 |
| 1699320614 | El Centro Del Barrio, Inc | Clinic/Center | 9793 Culebra Rd Ste 105, San Antonio, TX 78251-3750 | 2019-08-06 |
| 1659849875 | El Centro Del Barrio, Inc | Clinic/Center | 9135 Schaefer Rd Ste 4, Converse, TX 78109-1980 | 2018-11-06 |
| 1437635596 | El Centro Del Barrio, Inc | Clinic/Center | 226 N Union Ave, New Braunfels, TX 78130-4450 | 2018-07-12 |
| 1801389044 | El Centro Del Barrio, Inc | Clinic/Center | 5439 Ray Ellison Blvd, San Antonio, TX 78242-2219 | 2018-06-12 |
| 1871823898 | El Centro Del Barrio, Inc | Clinic/Center | 256 S Krueger Ave, New Braunfels, TX 78130-6941 | 2010-01-14 |
| 1093048548 | El Centro Del Barrio, Inc | Clinic/Center | 1034 W County Line Rd, New Braunfels, TX 78130-8338 | 2009-09-16 |
| Street Address |
5750 MEDINA BASE RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78242-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921779 | Ntcg Holdings LLP | Durable Medical Equipment & Medical Supplies | 5710 Old Pearsall Rd, San Antonio, TX 78242 | 2018-05-09 |
| 1679958680 | Lacey Lillian Aguero | Physician Assistant | 6407 Cougar Vlg, San Antonio, TX 78242 | 2015-07-21 |
| 1023362480 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5975 Old Pearsall Rd, San Antonio, TX 78242 | 2012-11-06 |
| 1538484282 | Albert A. Jimenez | Counselor | 5203 Old Pearsall Rd, San Antonio, TX 78242 | 2010-04-06 |
| 1356810162 | Tominesha Brown | Licensed Vocational Nurse | 6010 Ray Ellison Blvd Apt 9108, San Antonio, TX 78242-0013 | 2018-11-21 |
| 1518505213 | Larrayshia Berry | Licensed Vocational Nurse | 8211 Tesoro Hls, San Antonio, TX 78242-1414 | 2019-12-13 |
| 1053811059 | Clarissa Alvarado | Registered Nurse | 6138 Elm Valley Dr, San Antonio, TX 78242-1522 | 2018-02-15 |
| 1306872825 | Samantha Maria Airhart | Counselor | 7319 Net Valley Dr, San Antonio, TX 78242-2048 | 2006-06-25 |
| 1619304425 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 7239 Sw Loop 410, San Antonio, TX 78242-2049 | 2013-10-11 |
| 1629578513 | Erica Olvera | Licensed Vocational Nurse | 7523 Alpine Valley Dr, San Antonio, TX 78242-2108 | 2018-02-16 |
| Find all providers in zip 78242 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1528613510 | El Centro Del Barrio, Inc. | Clinic/Center | 730 N Main Ave Ste 224, San Antonio, TX 78205-1195 | 2019-08-06 |
| 1164980538 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 21195 W Interstate 10 Ste 2101, San Antonio, TX 78257-1675 | 2019-03-05 |
| 1104353366 | Barrio Comprehensive Family Health Care Center, Inc | Clinic/Center | 2614 W Commerce St, San Antonio, TX 78207-3765 | 2017-05-18 |
| 1124313804 | El Centro Del Barrio, Inc | Clinic/Center | 3127 Se Military Dr, Suite 101, San Antonio, TX 78223-3990 | 2011-06-10 |
| 1427357458 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 8210 Callaghan Road, San Antonio, TX 78230 | 2011-03-16 |
| 1982834289 | El Centro Del Barrio | Clinic/Center | 630 S General Mcmullen, San Antonio, TX 78237-2005 | 2009-07-21 |
| 1841433562 | El Centro Del Barrio, Inc | Clinic/Center | 1 Haven for Hope Way Bldg1 #300, San Antonio, TX 78207-1108 | 2009-04-10 |
| 1477628394 | El Centro Del Barrio, Inc. | Clinic/Center | 307 Dwyer Ave, San Antonio, TX 78204-1101 | 2006-11-24 |
| 1154495182 | El Centro Del Barrio, Inc. | Clinic/Center | 204 Nolan, San Antonio, TX 78202-2153 | 2006-11-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78242 |
Please comment or provide details below to improve the information on EL CENTRO DEL BARRIO, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.