NPIMap

Organization Active NPI

Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
National Provider Identifier
1164069035
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GATEWAY COMMUNITY HEALTH CENTER, INC
Practice address
5500 S. Zapata Hwy.
Laredo, TX 78046-8919
Phone
(956) 795-8100
Fax
(956) 622-7750
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Elmo Lopez Jr.
Title
Ceo
Phone
(956) 718-6259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5500 S. Zapata Hwy.
Laredo, TX 78046-8919

Mailing address

PO Box 3397
Laredo, TX 78044-3397
Phone (956) 718-6259

Other names 1

  • LAREDO COLLEGE SOUTH CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laredo

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311000588 TX Part B Supplier - Clinic/Group Practice 0941193510 Receives reassigned benefits from 57 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laredo, TX; Zapata, TX; Hebbronville, TX
O20191231002280 TX Part A Provider - Federally Qualified Health Center (FQHC) 0941193510 Practice locations: Laredo, TX

Federally qualified health center certification: CCN 451097

Legal name
GATEWAY COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 30, 2019
Last certification
Dec 30, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 2, 1989 in TX
Enrollment address
5500 S. Zapata Hwy
Laredo, TX 78046-8919

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Gateway Community Health Center Inc Quad City26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Oralia Garcia Individual Corporate DirectorBoard Member Mar 25, 2013
Elmo Lopez Individual Corporate OfficerChief Executive Officer Oct 1, 2015
W-2 Managing EmployeeCeo Oct 1, 2015
Laura Gregory Individual Corporate DirectorBoard Member Feb 26, 2013
Anna M Serna Individual Corporate DirectorBoard Member Mar 17, 2019
Guillermo Trevino Individual Corporate DirectorBoard Member Feb 17, 2022
Elisamar Soto Individual Corporate DirectorVice Chairman Aug 16, 2019
Guadalupe R Canales Individual Corporate DirectorBoard Member May 28, 2024
Jessica Hernandez Individual Corporate DirectorSecretary Apr 23, 2023
Diana E. Prado Individual Corporate DirectorBoard Member Feb 27, 2024
Grace Marie Snyder Individual Corporate DirectorBoard Member Feb 27, 2024
Oscar Montiel Individual Corporate DirectorBoard Member Oct 27, 2011
Lauro Garcia Individual Corporate DirectorChairman of the Board of Directors Oct 2, 1989
Mery J Cortes-Bergoderi Individual Corporate OfficerChief Medical Officer Dec 20, 2014
W-2 Managing EmployeeCmo Dec 20, 2014
Antonio S. Arce Individual Corporate DirectorBoard Member Aug 24, 2021
Daniel Cabrera Individual Corporate OfficerCoo Dec 28, 2015
Griselda Vasquez Individual Corporate DirectorBoard Member Aug 22, 2023
Rene Yzaguirre Individual Corporate DirectorBoard Member Mar 10, 2022
Michelle Pena Individual W-2 Managing Employee Apr 22, 2024

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Community Health Center IncHebbronville, TX, CCN 671917 Federally qualified health center Operational/Managerial Control Oct 2, 1989
Gateway Community Health Center IncLaredo, TX, CCN 451067 Federally qualified health center Operational/Managerial Control Oct 2, 1989

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1164069035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443397",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S. ZAPATA HWY.",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468919",
            "telephone_number": "956-795-8100",
            "fax_number": "956-622-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-718-6259",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laredo",
            "affiliation": "N",
            "address_1": "5500 S. Zapata Hwy.",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780468919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LAREDO COLLEGE SOUTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAREDO COLLEGE SOUTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.