Active NPI
Gateway Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Laredo, TX
National Provider Identifier
1184643256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GATEWAY COMMUNITY HEALTH CENTER, INC.
- Practice address
- 1515 Pappas St
1515 Pappas St
Laredo, TX 78041-1705 - Phone
- (956) 523-3642
- Fax
- (956) 718-6294
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Miguel Trevino Jr.
- Title
- Ceo
- Phone
- (956) 523-3646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1515 Pappas St
1515 Pappas St
Laredo, TX 78041-1705
Mailing address
917 N Main Street
Mirando, TX 78369-0220
Phone (956) 523-3642
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013948447 | Other | TX | NPI FOR MEDICARE NUMBER 451961 |
| 1922020015 | Medicaid | TX | |
| 092953101 | Medicaid | TX |
Other names 1
- GATEWAY COMMUNITY HEALTH CENTER, INC. QUAD CITY COMMUNITY CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314403200000",
"number": "1184643256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 N MAIN STREET",
"city": "MIRANDO",
"state": "TX",
"postal_code": "783690220",
"telephone_number": "956-523-3642",
"fax_number": "956-795-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"address_2": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-523-3642",
"fax_number": "956-718-6294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY COMMUNITY HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2011-08-27",
"status": "A",
"authorized_official_last_name": "TREVINO",
"authorized_official_first_name": "MIGUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-523-3646",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR MEDICARE NUMBER 451961",
"identifier": "1013948447",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922020015",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092953101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GATEWAY COMMUNITY HEALTH CENTER, INC. QUAD CITY COMMUNITY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
- Gateway Community Health Center, Inc
- Gateway Community Health Center, Inc South Clinic
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
- Gateway Community Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.