EL CENTRO DEL BARRIO, INC. (NPI# 1699841569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699841569 |
Entity Type | Organization |
Organization Name | EL CENTRO DEL BARRIO, INC. |
Other Organization Name | CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC |
Practice Address |
315 N San Saba Suite # 103 San Antonio TX 78207-3154 |
Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
Practice Telephone | 2109227000 |
Practice Fax Number | 2109241374 |
Mailing Telephone | 2103343700 |
Mailing Fax Number | 2109220162 |
Enumeration Date | 2006-11-24 |
Last Update Date | 2019-10-25 |
Authorized Official Name | CHUCK WALZEL (VP/CFO) |
Authorized Official Telephone | 2103343724 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | HBOCS00758-04-00 | TX | Ambulatory Health Care Facilities |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
HBOCS00758-04-00 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 120980105 | 05 | |
TX | GROUP MEDICARE | 00MT08 | 01 |
TX | 120980101 | 05 | |
TX | 120980102 | 05 | |
TX | 120980103 | 05 |
Other Name | Type Code |
---|---|
CentroMed Santa Rosa Clinic/Ryan White Clinic | Doing Business As Name - Organization |
CentroMed Santa RosaClinic/Ryran White Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613510 | El Centro Del Barrio, Inc. | Clinic/Center | 730 N Main Ave Ste 224, San Antonio, TX 78205-1195 | 2019-08-06 |
1376198374 | El Centro Del Barrio, Inc. | Clinic/Center | 17323 Interstate 35 N Ste 113, Schertz, TX 78154-1278 | 2019-08-06 |
1013139377 | El Centro Del Barrio, Inc. | Respite Care | 605 Belknap Pl, San Antonio, TX 78212-3413 | 2007-05-03 |
1356562680 | El Centro Del Barrio, Inc. | Clinic/Center | 4040 High Ridge Cir, San Antonio, TX 78229-4143 | 2007-05-02 |
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 |
1427122456 | El Centro Del Barrio, Inc. | Clinic/Center | 1514 W Durango, San Antonio, TX 78207-3936 | 2006-11-20 |
1861566879 | El Centro Del Barrio, Inc. | Clinic/Center | 510 Belknap Pl, San Antonio, TX 78212-3400 | 2006-11-20 |
1811061872 | El Centro Del Barrio, Inc. | Clinic/Center | 7315 S. Loop 1604 West, Somerset, TX 78069 | 2006-11-20 |
1083787808 | El Centro Del Barrio, Inc. | Clinic/Center | 920 W. Commerce, San Antonio, TX 78207 | 2006-11-17 |
Street Address |
315 N SAN SABA SUITE # 103 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78207-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811995780 | Jorge San Martin | Optometrist | 315 N San Saba, Suite 100, San Antonio, TX 78207-3154 | 2005-07-13 |
1477008126 | Melinda Marie Garcia | Physician Assistant | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2016-08-23 |
1932441334 | Daniela Alejandra Vidaurri | Pediatrics | 315 N San Saba, Suite 1003, San Antonio, TX 78207 | 2013-03-23 |
1053662478 | Mary Ann Apopot | Nurse Practitioner | 315 N San Saba, Ste 102, San Antonio, TX 78207-3154 | 2012-09-25 |
1255604104 | Utpal S Bhalala | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2012-02-22 |
1366723363 | Amanda K. Miller | Physician Assistant | 315 N San Saba, San Antonio, TX 78207-3154 | 2011-09-02 |
1043527724 | Fuad Antonio Spath | Internal Medicine | 315 N San Saba, Suite 102, San Antonio, TX 78207-3154 | 2010-09-02 |
1932410735 | Leah Albano Mercado | Pediatrics | 315 N San Saba, 1075, San Antonio, TX 78207-3154 | 2010-06-25 |
1245566207 | South Texas Health Alliance | Surgery | 315 N San Saba, Suite 1195, San Antonio, TX 78207-3154 | 2009-10-27 |
1982850707 | Abhishek Prakashchandra Patel | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2008-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
Find all providers in zip 78207 |
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 |
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 |
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 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78207 |
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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.