NPIMap

Organization Active NPI

Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
National Provider Identifier
1487481818
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GATEWAY COMMUNITY HEALTH CENTER, INC.
Practice address
1702 Lafayette St
Laredo, TX 78041-2461
Phone
(956) 795-8100
NPI assigned
Sep 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Elmo Lopez
Title
Ceo
Phone
(956) 625-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1702 Lafayette St
Laredo, TX 78041-2461

Mailing address

PO Box 3397
Laredo, TX 78044-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311000588 TX Part B Supplier - Clinic/Group Practice 0941193510 Receives reassigned benefits from 57 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laredo, TX; Zapata, TX; Hebbronville, TX
O20250226001535 TX Part A Provider - Federally Qualified Health Center (FQHC) 0941193510 Practice locations: Laredo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487481818. Details of each certification follow.

Federally qualified health center certification: CCN 971055

Legal name
GATEWAY COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 18, 2025
Last certification
Mar 18, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1702 Lafayette St
Laredo, TX 78041-2461

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gateway Community Health Center Inc Cshcn26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elmo Lopez Individual Corporate DirectorCeo Oct 11, 2015
Guillermo Trevino Individual Corporate Director Feb 17, 2022
Guadalupe R Canales Individual Corporate Director May 22, 2024
Jessica Hernandez Individual Corporate Director Apr 25, 2023
Diana E. Prado Individual Corporate Director Feb 22, 2024
Grace Marie Snyder Individual Corporate Director Feb 23, 2024
Antonio S. Arce Individual Corporate Director Aug 4, 2021
Daniel Cabrera Individual Corporate OfficerCoo Dec 28, 2015
Griselda Vasquez Individual Corporate Director Aug 15, 2023
Rene Yzaguirre Individual Corporate Director Mar 10, 2022
Michelle Pena Individual W-2 Managing EmployeeCfo Apr 22, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Community Health Center IncHebbronville, TX, CCN 671917 Federally qualified health center Operational/Managerial Control Oct 2, 1989
Gateway Community Health Center IncLaredo, TX, CCN 451067 Federally qualified health center Operational/Managerial Control Oct 2, 1989

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1487481818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412461",
            "telephone_number": "956-795-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-625-3030"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.