Vshsi Lpisd Community Based and School Based Clinic
Organization Active NPI Federally Qualified Health Center (FQHC) · La Pryor, TX
NPI 1346567948 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1346567948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- VSHSI LPISD COMMUNITY BASED AND SCHOOL BASED CLINIC
- Practice address
- 117 E. Hwy 57
La Pryor, TX 78872 - Phone
- (830) 365-4528
- Fax
- (830) 365-4023
- NPI assigned
- Apr 23, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- VIDA Y SALUD - HEALTH SYSTEMS, INC.
Authorized official
- Name
- Ms. Nora Tellez
- Title
- Chief Executive Officer
- Phone
- (830) 374-2301
Other NPIs on the same Medicare enrollment 1
Practitioners 2
-
Lorenzo Ortiz, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110307000305 | TX | Part B Supplier - Clinic/Group Practice | 8820127848 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crystal City, TX; La Pryor, TX |
National Provider Directory
- Part of
- Vida Y Salud Health Systems Inc
Locations
308 S Cesar Chavez Ave
Crystal City, TX 78839
Phone (830) 374-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
117 E. Hwy 57
La Pryor, TX 78872
Mailing address
308 S. Cesar Chavez Ave.
Crystal City, TX 78839
Phone (830) 374-2301
Other names
- VSHSI - LPISDCommunity Based & School Based Health Clinic
Other providers in La Pryor, TX
All providers in La Pryor, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.