NPIMap

Organization Active NPI

Preventative Care Health Service, Inc.

Doing business as Presidio County Health Services, Inc

  • Dental Clinic/Center
  • Presidio, TX
National Provider Identifier
1093890634
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PREVENTATIVE CARE HEALTH SERVICE, INC.
Doing business as
Presidio County Health Services, Inc
Practice address
1501 N Erma Ave
Presidio, TX 79845
Phone
(432) 229-3030
Fax
(432) 229-2500
NPI assigned
Oct 25, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PREVENTATIVE CARE HEALTH SERVICE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Mrs. Linda Molinar
Title
Ceo
Phone
(432) 837-4812

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Family Medicine Physician 207Q00000X TX

Addresses

Primary practice location

1501 N Erma Ave
Presidio, TX 79845

Mailing address

1605 N Ft David Hwy
Suite B
Alpine, TX 79830
Phone (432) 837-4812

Other identifiers 1

IdentifierTypeStateIssuer
189714201MedicaidTX

Other names 1

  • Presidio County Health Services, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080514000116 TX Part A Provider - Federally Qualified Health Center (FQHC) 5193823045 Practice locations: Presidio, TX
O20091110000495 TX Part B Supplier - Clinic/Group Practice 5193823045 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Presidio, TX; Marfa, TX; Alpine, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093890634. Details of each certification follow.

Federally qualified health center certification: CCN 671882

Legal name
PREVENTATIVE CARE HEALTH SERVICES INC
Doing business as
PRESIDIO COUNTY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 14, 2008
Last certification
May 14, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 2004 in TX
Enrollment address
1501 N Erma Ave
Presidio, TX 79845-4464

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1048654Presidio County Medical Clinic1501 N Erma Ave, Presidio, TX 79845Provider-performed microscopyJun 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Preventative Care Health Service Inc4 organizations share this tax ID, including this one
Part of
Preventative Care Health Service Inc

Other organizations with this tax ID 3

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

Locations

1605 N State Highway 118
Alpine, TX 79830
Phone 4328374555206

1605 N State Highway 118
Ste B
Alpine, TX 79830
Phone (432) 837-4812

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Coy L Boroff Individual Corporate DirectorCfo Sep 29, 2012
Alcee Tavarez Individual Corporate DirectorBoard Member Secretary Sep 9, 2007
Esperanza Carrasco Individual Corporate DirectorBoard Member May 7, 2007
Elva Torres Individual Corporate DirectorCeo Jun 1, 2007
Graciela Baeza Individual Corporate Director Aug 1, 2007
Linda Molinar Individual Corporate DirectorCeo Jun 15, 2012
W-2 Managing EmployeeCeo Jun 15, 2012
Jeanne Amis Individual Corporate DirectorBoard Member Jun 3, 2008
Lucy Murillo Individual Corporate DirectorBoard Member May 23, 2014
Adrian N Billings Individual Corporate DirectorCmo Aug 30, 2013
Preventative Care Health Services Inc Organization, Alpine, TX Non-profit Operational/Managerial Control Jun 15, 2012
Genevieve Bassham Individual Corporate DirectorBoard Member Oct 17, 2013
Cynthia a Esquivel Individual Corporate DirectorDirector of Operations Jan 12, 2015
Ana L Coker Individual Corporate DirectorBoard Member Oct 6, 2011
Agueda Muniz Individual Corporate DirectorBoard Member Sep 17, 2008

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1093890634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N FT DAVID HWY",
            "address_2": "SUITE B",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "79830",
            "telephone_number": "432-837-4812",
            "fax_number": "432-837-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N ERMA AVE",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "79845",
            "telephone_number": "432-229-3030",
            "fax_number": "432-229-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE CARE HEALTH SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTATIVE CARE HEALTH SERVICE, INC",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MOLINAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-837-4812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189714201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidio County Health Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Presidio, TX

Sources for this page

Verify at the official NPI Registry.