NPIMap

Organization Active NPI

South Padre Island Pediatric Center

  • Rural Health Clinic/Center
  • Alice, TX
National Provider Identifier
1366256554
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTH PADRE ISLAND PEDIATRIC CENTER
Practice address
415 E 4TH St
Alice, TX 78332-4727
Phone
(361) 664-8945
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Lindsey Zierhut
Title
Credentialing
Phone
(985) 646-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

415 E 4TH St
Alice, TX 78332-4727

Mailing address

3845 S Padre Island Dr
Corpus Christi, TX 78415-2919
Phone (361) 854-4626

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Solutions PA7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3845 S Padre Island Dr
Corpus Christi, TX 78415
Phone (361) 854-4626

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1366256554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152919",
            "telephone_number": "361-854-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 4TH ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324727",
            "telephone_number": "361-664-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PADRE ISLAND PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "ZIERHUT",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "985-646-1580"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.