Organization Active NPI

Community Clinic, Inc

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1154372860
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY CLINIC, INC
Practice address
210 W Olmos Dr
San Antonio, TX 78212-1956
Phone
(210) 821-5522
Fax
(210) 821-5911
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sonya M. Erb
Title
Executive Director
Phone
(210) 805-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TX Primary

Addresses

Primary practice location

210 W Olmos Dr
San Antonio, TX 78212-1956

Mailing address

210 W Olmos Dr
San Antonio, TX 78212-1956
Phone (210) 821-5522

National Provider Directory

National Provider Directory

Locations

210 W Olmos Dr
San Antonio, TX 78212
Phone (210) 821-5522

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154372860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W OLMOS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121956",
            "telephone_number": "210-821-5522",
            "fax_number": "210-821-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W OLMOS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121956",
            "telephone_number": "210-821-5522",
            "fax_number": "210-821-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERB",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-805-8102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.