El Centro del Barrio, Inc.

Key facts

NPI

1346591237

Entity type

Organization (NPI type 2)

Primary specialty

Federally Qualified Health Center (FQHC) 261QF0400X

Legal business name

EL CENTRO DEL BARRIO, INC.

Practice address

9502 Computer Dr
101
San Antonio, TX 78229-2382

Phone

(210) 615-5700

Fax

(210) 615-5721

NPI assigned

Oct 2, 2012

Organization subpart

No

Authorized official

Name

Chuck Walzel

Title

Cfo

Phone

(210) 334-3724

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• CentroMed Northwest Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2012.

{
    "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"
        }
    ]
}

Other providers in San Antonio, TX

• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.
• El Centro del Barrio, Inc.

All providers in San Antonio, TX · Federally Qualified Health Center (FQHC) in Texas