Active NPI
Project Vida Health Center
- Federally Qualified Health Center (FQHC)
- Sierra Blanca, TX
National Provider Identifier
1356664460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PROJECT VIDA HEALTH CENTER
- Practice address
- 442 Rural Market 1111
Sierra Blanca, TX 79851 - Phone
- (915) 369-0038
- Fax
- (915) 369-0039
- NPI assigned
- Mar 3, 2010
- Last updated
- Mar 25, 2020
- Organization subpart
- Yes
- Parent organization
- PROJECT VIDA HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Schlesinger
- Title
- Executive Director
- Phone
- (915) 533-7057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
442 Rural Market 1111
Sierra Blanca, TX 79851
Mailing address
3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 533-7057
Other practice location 1
500 E Walling Street
Sierra Blanca, TX 79851
Phone (915) 533-7057 ext. 216
Other names 1
- Project Vida Health Center - Sierra Blanca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356664460. Details of each certification follow.
Federally qualified health center certification: CCN 671944
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PROJECT VIDA HEALTH CENTER - SIERRA BLANCA
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 8, 2010
- Last certification
- Jul 8, 2010
- Ownership / control type
- For profit – corporation
- Facility address
- 500 E Walling
Sierra Blanca, TX 79851
National Provider Directory
National Provider Directory- Part of
- Project Vida Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1356664460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 RIVERA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052415",
"telephone_number": "915-533-7057",
"fax_number": "915-533-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 RURAL MARKET 1111",
"city": "SIERRA BLANCA",
"state": "TX",
"postal_code": "79851",
"telephone_number": "915-369-0038",
"fax_number": "915-369-0039"
}
],
"practiceLocations": [
{
"address_1": "500 E Walling Street",
"address_purpose": "LOCATION",
"city": "Sierra Blanca",
"state": "TX",
"postal_code": "79851",
"country_code": "US",
"telephone_number": "915-533-7057 x216",
"fax_number": "915-533-7158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROJECT VIDA HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROJECT VIDA HEALTH CENTER",
"enumeration_date": "2010-03-03",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "SCHLESINGER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "915-533-7057",
"authorized_official_name_prefix": "Mr."
},
"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": "Project Vida Health Center - Sierra Blanca",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Project Vida Health Center - Sierra Blanca",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sierra Blanca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.