El Centro del Barrio, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EL CENTRO DEL BARRIO, INC.

Doing business as

CentroMed Northwest Clinic

Practice address

9502 Computer Dr
101
San Antonio, TX 78229-2382

Phone

(210) 615-5700

Fax

(210) 615-5721

NPI assigned

Oct 2, 2012

Last updated

Oct 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chuck Walzel

Title

Cfo

Phone

(210) 334-3724

Specialties & licenses 1

Addresses

Other names 1

• CentroMed Northwest Clinic Doing business as

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1346591237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-334-3700",
            "fax_number": "210-922-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 COMPUTER DR",
            "address_2": "101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292382",
            "telephone_number": "210-615-5700",
            "fax_number": "210-615-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DEL BARRIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "WALZEL",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-334-3724"
    },
    "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": "CentroMed Northwest Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (Dullnig House Clinic)
• El Centro del Barrio, Inc. (Infants' Shelter)
• El Centro del Barrio, Inc. (Bexar County Hospital)
• El Centro del Barrio, Inc. (Children's Shelter Clinic)
• El Centro del Barrio, Inc. (Residential Treatment Center Clinic)
• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (Lanier Student Health Center)
• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (CentroMed)

• Federally Qualified Health Center (FQHC) in San Antonio, TX
• Providers in San Antonio, 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 Oct 2, 2012; 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.