PROJECT VIDA HEALTH CENTER, INC. (NPI# 1447377924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447377924 |
| Entity Type | Organization |
| Organization Name | PROJECT VIDA HEALTH CENTER, INC. |
| Other Organization Name | NORTHEAST FAMILY PRACTICE |
| Practice Address |
4875 Maxwell Ave. El Paso TX 79904-1559 |
| Mailing Address |
3607 Rivera Ave. El Paso TX 79905-2415 |
| Practice Telephone | 9157570038 |
| Practice Fax Number | 9157571640 |
| Mailing Telephone | 9155337057 |
| Mailing Fax Number | 9155337158 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | WILLIAM SCHLESINGER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9155337057 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROJECT VIDA HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | THSTEPS TPI | 121004907 | 01 |
| TX | 121004907 | 05 | |
| TX | 121004906 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457503385 | Project Vida Health Center, Inc. | Clinic/Center | 9555 Diana Dr., El Paso, TX 79924-6951 | 2008-10-22 |
| 1184779191 | Project Vida Health Center, Inc. | Clinic/Center | 3612 Pera Ave., El Paso, TX 79905-2412 | 2007-01-23 |
| Street Address |
4875 MAXWELL AVE. |
| City | EL PASO |
| State | TX |
| Zip Code | 79904-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
| 1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
| 1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
| 1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
| 1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
| 1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
| 1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
| Find all providers in zip 79904 | ||||
| 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 |
|---|---|---|---|---|
| 1710513031 | Project Vida Health Center | Clinic/Center | 11350 Loma Franklin Dr, El Paso, TX 79934-4146 | 2020-03-18 |
| 1578198370 | Project Vida Health Center | Clinic/Center | 4835 Blossom Ave, El Paso, TX 79924-3234 | 2020-03-12 |
| 1265066641 | Project Vida Health Center | Clinic/Center | 6701 S Desert Blvd, El Paso, TX 79932-8501 | 2020-02-25 |
| 1700358264 | Project Vida Health Center | Clinic/Center | 11700 School Ln, El Paso, TX 79936-4418 | 2018-12-21 |
| 1336611896 | Project Vida Health Center | Clinic/Center | 2200 Sun Country Dr, El Paso, TX 79938-4644 | 2018-12-21 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1902372402 | Project Vida Health Center | Clinic/Center | 12000 Montwood Dr, El Paso, TX 79936-4400 | 2018-10-23 |
| 1164925046 | Project Vida Health Center | Clinic/Center | 13600 Ryderwood, El Paso, TX 79928 | 2018-03-16 |
| 1376056275 | Project Vida Health Center | Clinic/Center | 1100 Colina De Paz, El Paso, TX 79928-6064 | 2017-11-14 |
| 1285147173 | Project Vida Health Center | Clinic/Center | 13000 Emerald Pass Ave, El Paso, TX 79928 | 2017-11-14 |
| Find all providers in EL PASO | ||||
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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.