EL CENTRO DEL BARRIO, INC (NPI# 1659849875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659849875 |
| Entity Type | Organization |
| Organization Name | EL CENTRO DEL BARRIO, INC |
| Other Organization Name | CENTROMED FAMILY FIRST CLINIC |
| Practice Address |
9135 Schaefer Rd Ste 4 Converse TX 78109-1980 |
| Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
| Practice Telephone | 2109227000 |
| Practice Fax Number | 2109289699 |
| Mailing Telephone | 2109227000 |
| Mailing Fax Number | 2109289699 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | LAWRENCE C WALZEL (VP/CFO) |
| Authorized Official Telephone | 2103343724 |
| 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 Family First Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275907727 | El Centro Del Barrio, Inc | Clinic/Center | 5750 Medina Base Rd, San Antonio, TX 78242-1708 | 2015-11-20 |
| 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 |
| 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 |
9135 SCHAEFER RD STE 4 |
| City | CONVERSE |
| State | TX |
| Zip Code | 78109-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523582 | Alanda Rusawn White | Nurse Practitioner | 9135 Schaefer Rd Ste 4, Converse, TX 78109-1980 | 2012-06-22 |
| 1144670944 | Robert Phillip Meyer | Registered Nurse | 9135 Schaefer Rd Ste 4, Converse, TX 78109-1980 | 2016-06-13 |
| 1124461801 | Hanaa Girgis | Family Medicine | 9135 Schaefer Rd Ste 4, Converse, TX 78109-1980 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1962913830 | Yvette Marie Martinez | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109 | 2017-10-19 |
| 1184144966 | Norma Irene Ayala | Driver | 7460 Kitty Hawk Rd Site 430, Converse, TX 78109 | 2017-06-22 |
| 1497285753 | Miguel Antonio Solis | Social Worker | 8818 Olmstead Park, Converse, TX 78109 | 2017-06-19 |
| 1417482324 | Converse Dentistry | Dentist | 6643 Binz Engleman Road, 6643 Binz Engleman Road, San Antonio, TX 78109 | 2017-04-28 |
| 1417305806 | Kashi Dental LLC | Clinic/Center | 9163 Fm 78, Suite # 1, Converse, TX 78109 | 2016-05-26 |
| 1427499953 | Hardik A Bhadeshiya | Dentist | 8455 Crestway Road Suite 101, Converse, TX 78109 | 2013-07-12 |
| 1548515075 | Soumava Sen, Dds, P.C. | Dentist | 8455 Crestway Road, Suite 101, Converse, TX 78109 | 2012-07-20 |
| 1427326131 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8027 Kitty Hawk Rd, Converse, TX 78109 | 2011-12-08 |
| 1891925491 | Thaddeus R Tregeagle | Dentist | 9135 Schaefer Rd, 3, Converse, TX 78109 | 2009-07-17 |
| Find all providers in zip 78109 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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| 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.