Project Vida Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PROJECT VIDA HEALTH CENTER

Doing business as

Socorro High School

Practice address

10150 Alameda Ave
Socorro, TX 79927-1600

Phone

(915) 533-7057

Fax

(915) 440-2919

NPI assigned

Aug 9, 2018

Last updated

Mar 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William David Schlesinger

Title

Ceo

Phone

(915) 533-7057

Specialties & licenses 1

Addresses

Other names 1

• SOCORRO HIGH SCHOOL Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124507272. Details of each certification follow.

• CCN 451031 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 451031

Legal name

SOCORRO HIGH SCHOOL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 2, 2019

Last certification

Jan 2, 2019

Ownership / control type

For profit – corporation

Facility address

10150 Alameda Avenue
Socorro, TX 79927

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1124507272",
    "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": "915-533-7057",
            "fax_number": "915-533-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799271600",
            "telephone_number": "915-533-7057",
            "fax_number": "915-440-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VIDA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHLESINGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-533-7057"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOCORRO HIGH SCHOOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Springs Healthcare LLC (Las Ventanas de Socorro)
• North Loop Ventures Inc (North Loop Pharmacy)
• Alma Veronica Ortega, PHARMD
• Leslie Ortega, LCSW
• Lizeth Pinon, LMSW
• Project Vida Health Center (Ernesto Serna Middle School)
• Project Vida Health Center (Socorro Middle School)
• Carmen Ramirez, DNP, APRN, FNP-BC
• Eric Ramirez
• Relief Service LLC

• Federally Qualified Health Center (FQHC) in Socorro, TX
• Providers in Socorro, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.