PROJECT VIDA HEALTH CENTER (NPI# 1578198370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578198370 |
| Entity Type | Organization |
| Organization Name | PROJECT VIDA HEALTH CENTER |
| Practice Address |
4835 Blossom Ave El Paso TX 79924-3234 |
| Mailing Address |
3607 Rivera Ave El Paso TX 79905-2415 |
| Practice Telephone | 9155337057 |
| Practice Fax Number | 9155337158 |
| Mailing Telephone | 9155337057 |
| Mailing Fax Number | 9155337158 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | WILLIAM DAVID SCHLESINGER (CEO) |
| Authorized Official Telephone | 9155337057 |
| 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 |
|---|---|
| Terrace Hills Middle School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513031 | Project Vida Health Center | Clinic/Center | 11350 Loma Franklin Dr, El Paso, TX 79934-4146 | 2020-03-18 |
| 1265066641 | Project Vida Health Center | Clinic/Center | 6701 S Desert Blvd, El Paso, TX 79932-8501 | 2020-02-25 |
| 1912479445 | Project Vida Health Center | Clinic/Center | 301 Bovee Rd., Socorro, TX 79927-1220 | 2018-12-21 |
| 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 |
| 1467923250 | Project Vida Health Center | Clinic/Center | 11471 Alameda Ave, Socorro, TX 79927-3239 | 2018-12-06 |
| 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 |
| Street Address |
4835 BLOSSOM AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| 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 |
| 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 |
| 1912418997 | Project Vida Health Center | Clinic/Center | 150 Nonap Rd, El Paso, TX 79928-5115 | 2017-10-18 |
| 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.