Vshsi Lpisd Community Based and School Based Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

VSHSI LPISD COMMUNITY BASED AND SCHOOL BASED CLINIC

Doing business as

VSHSI - LPISDCommunity Based & School Based Health Clinic

Practice address

117 E. Hwy 57
La Pryor, TX 78872

Phone

(830) 365-4528

Fax

(830) 365-4023

NPI assigned

Apr 23, 2010

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

VIDA Y SALUD - HEALTH SYSTEMS, INC.As reported in NPPES

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

Authorized official

Name

Ms. Nora Tellez

Title

Chief Executive Officer

Phone

(830) 374-2301

Specialties & licenses 1

Addresses

Other names 1

• VSHSI - LPISDCommunity Based & School Based Health Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Vida Y Salud-Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal City, TX
  • NPI 1770511032

  O20110307000305

  Same enrollment

Part of

Vida Y Salud - Health Systems Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Domingo Davalos Davalos, LPC

  • Professional Counselor
  • Dilley, TX
  • NPI 1164700647
  NPD (past)
• Lorenzo Ortiz, LPC

  • Professional Counselor
  • Crystal City, TX
  • NPI 1689638132
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1346567948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S. CESAR CHAVEZ AVE.",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "78839",
            "telephone_number": "830-374-2301",
            "fax_number": "830-374-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E. HWY 57",
            "city": "LA PRYOR",
            "state": "TX",
            "postal_code": "78872",
            "telephone_number": "830-365-4528",
            "fax_number": "830-365-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSHSI LPISD COMMUNITY BASED AND SCHOOL BASED CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIDA Y SALUD - HEALTH SYSTEMS, INC.",
        "enumeration_date": "2010-04-23",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "TELLEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "830-374-2301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VSHSI - LPISDCommunity Based & School Based Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• La Pryor Independent School District
• La Pryor Isd
• Catherine Jean Smith

• Federally Qualified Health Center (FQHC) in La Pryor, TX
• Providers in La Pryor, 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 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.