UNITED MEDICAL CENTERS (NPI# 1821411224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821411224 |
Entity Type | Organization |
Organization Name | UNITED MEDICAL CENTERS |
Other Organization Name | EL INDIO HWY CLINIC |
Practice Address |
4018 El Indio Hwy Eagle Pass TX 78852-6690 |
Mailing Address |
Po Box 1470 Eagle Pass TX 78853-1470 |
Practice Telephone | 8308723460 |
Practice Fax Number | 8308723470 |
Mailing Telephone | 8307738917 |
Mailing Fax Number | 8307731892 |
Enumeration Date | 2014-01-22 |
Last Update Date | 2020-01-07 |
Authorized Official Name | MR. RAFAEL E OLVERA (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8307738917 |
Authorized Official Credential | MBA |
Is Organization Subpart | Y |
Parent Organization Name | UNITED MEDICAL CENTERS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | TX | Podiatric Medicine & Surgery Service Providers | |
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | TX | Allopathic & Osteopathic Physicians | |
N | 207Y00000X | Otolaryngology | TX | Allopathic & Osteopathic Physicians | |
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 137809302 (GROUPALL) | 05 | |
TX | 137809314 (FQHC SITE | 05 |
Other Name | Type Code |
---|---|
El Indio Hwy Clinic | Other Name - Individual/Organization |
United Medical Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336284785 | United Medical Centers | Nurse Practitioner | 202 James St, Brackettville, TX 78832-0093 | 2007-02-21 |
1710980669 | United Medical Centers | Family Medicine | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2005-05-24 |
1891356655 | United Medical Centers | Social Worker | 119 E Academy St, Del Rio, TX 78840-6072 | 2019-06-24 |
1629320221 | United Medical Centers | Social Worker | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2012-10-05 |
1245581156 | United Medical Centers | Family Medicine | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-10-02 |
1669786703 | United Medical Centers | Social Worker | 2209 N Bedell Ave, Del Rio, TX 78840-8007 | 2010-07-30 |
1780809269 | United Medical Centers | Pharmacy | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2007-04-17 |
1952420960 | United Medical Centers | Pharmacy | 913 S Main St, Del Rio, TX 78840-5807 | 2007-03-29 |
1992840409 | United Medical Centers | Social Worker | 913 S Main St, Del Rio, TX 78840-5807 | 2007-02-21 |
Street Address |
4018 EL INDIO HWY |
City | EAGLE PASS |
State | TX |
Zip Code | 78852-6690 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437133949 | Janet E. Boone | Pediatrics | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2005-11-30 |
1215598289 | Yvette Ayla Guerra | Nurse Practitioner | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2019-06-21 |
1326578725 | Jacqueline Beth Blackburn | Nurse Practitioner | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2017-06-18 |
1922494673 | Michael Cannon | Podiatrist | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2015-04-09 |
1720429319 | Deepti Ramesh Baheti | Internal Medicine | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2013-07-11 |
1235113853 | Marie Diane James | Obstetrics & Gynecology | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
Find all providers in zip 78852 |
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 |
---|---|---|---|---|
1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
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 |
City | EAGLE PASS |
Zip Code | 78852 |
Please comment or provide details below to improve the information on UNITED MEDICAL CENTERS.
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.