Centro San Vicente in El Paso - Federally Qualified Health Center (fqhc)
Centro San Vicente - NPI 1841480902
Centro San Vicente is a Federally Qualified Health Center (fqhc) in El Paso, Texas. Centro San Vicente practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Centro San Vicente is 1841480902. The last update date is 2014-04-30.
Centro San Vicente's current location address is 1208 Myrtle Ave, El Paso, Texas. You can contact this provider via phone number 9153518972. The mailing address for Centro San Vicente is 1208 Myrtle Ave, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centro San Vicente |
|---|---|
| Address | 1208 Myrtle Ave, El Paso, Texas |
| Phone Number | 9153518972 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Luna Jose |
| Credentials | MD |
| Telephone Number | 9152250670 |
NPI Number Detail
| NPI Number | 1841480902 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 1208 Myrtle Ave |
|---|---|
| City | El Paso |
| State | Texas (TX) |
| Post Code | 799011602 |
| Phone Number | 9153518972 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130880107 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Centro San Vicente by the Centers for Medicare & Medicaid Services?
The Centro San Vicente has been issued the NPI (National Provider Identifier) 1841480902. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Centro San Vicente?
The Centro San Vicente is situated at 1208 Myrtle Ave, in the city of El Paso, state of TX, with the zip code 799011602.
What is the Centro San Vicente's specialty and taxonomy code?
The Centro San Vicente's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841480902 to Centro San Vicente?
The Centers for Medicare & Medicaid Services assigned the 1841480902 to Centro San Vicente on 2007-07-25.
When was the information related to Centro San Vicente most recently updated or refreshed?
The details pertaining to the Centro San Vicente, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-04-30.
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