NPIMap

Organization Active NPI

Project Vida Health Center

Doing business as Alfonso Borrego Sr. Elementary School

  • Federally Qualified Health Center (FQHC)
  • San Elizario, TX
National Provider Identifier
1093673162
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT VIDA HEALTH CENTER
Doing business as
Alfonso Borrego Sr. Elementary School
Practice address
13300 Chicken Ranch Rd
San Elizario, TX 79849
Phone
(905) 233-5450
Fax
(915) 533-7158
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Davenport-Herbst
Title
Ceo
Phone
(915) 465-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

13300 Chicken Ranch Rd
San Elizario, TX 79849

Mailing address

3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 465-1191

Other names 1

  • Alfonso Borrego Sr. Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Project Vida Health Center38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1093673162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 RIVERA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052415",
            "telephone_number": "915-465-1191",
            "fax_number": "905-533-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 CHICKEN RANCH RD",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "79849",
            "telephone_number": "905-233-5450",
            "fax_number": "915-533-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VIDA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT-HERBST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-465-1191"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alfonso Borrego Sr. Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Elizario, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.