Organization Active NPI

Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
National Provider Identifier
1184643256
Registry record updated Aug 27, 2011
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
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

Updated by the provider on Aug 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1013948447OtherTXNPI FOR MEDICARE NUMBER 451961
1922020015MedicaidTX
092953101MedicaidTX

Other names 1

  • GATEWAY COMMUNITY HEALTH CENTER, INC. QUAD CITY COMMUNITY CENTER Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.