EL CENTRO DEL BARRIO, INC. (NPI# 1356562680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356562680 |
Entity Type | Organization |
Organization Name | EL CENTRO DEL BARRIO, INC. |
Other Organization Name | RESIDENTIAL TREATMENT CENTER CLINIC |
Practice Address |
4040 High Ridge Cir San Antonio TX 78229-4143 |
Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
Practice Telephone | 2102122525 |
Practice Fax Number | 2103405022 |
Mailing Telephone | 2103343700 |
Mailing Fax Number | 2109220162 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2010-01-26 |
Authorized Official Name | CHUCK WALZEL (CFO) |
Authorized Official Telephone | 2103343724 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
HBOCS00-04-00 | 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 | 120980103 | 05 | |
TX | 120980101 | 05 | |
TX | 120980105 | 05 | |
TX | GROUP MEDICARE | 00MT08 | 01 |
TX | 120980102 | 05 |
Other Name | Type Code |
---|---|
Residential Treatment Center 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 |
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 |
1821160508 | El Centro Del Barrio, Inc. | Clinic/Center | 123 Ascot Ave, San Antonio, TX 78224-1101 | 2006-11-15 |
Street Address |
4040 HIGH RIDGE CIR |
City | SAN ANTONIO |
State | TX |
Zip Code | 78229-4143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770948705 | Victor Prieto Jr. | Counselor | 4040 High Ridge Cir, San Antonio, TX 78229-4143 | 2015-12-17 |
1386947141 | David Pyle | Social Worker | 4040 High Ridge Cir, San Antonio, TX 78229-4143 | 2010-12-15 |
1669694972 | The Children's Shelter | Residential Treatment Facility, Emotionally Disturbed Children | 4040 High Ridge Cir, San Antonio, TX 78229-4143 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
Find all providers in zip 78229 |
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 | 78229 |
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.