NPIMap

Organization Active NPI

Project Vida Health Center

Doing business as Montana Vista Health Center

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
National Provider Identifier
1588802102
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT VIDA HEALTH CENTER
Doing business as
Montana Vista Health Center
Practice address
14900B Greg Dr.
El Paso, TX 79938-9271
Phone
(915) 857-2638
Fax
(915) 857-8971
NPI assigned
Feb 4, 2009
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PROJECT VIDA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
William Schlesinger
Title
Chief Executive Officer
Phone
(915) 533-7057

Specialties & licenses 1

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

Addresses

Primary practice location

14900B Greg Dr.
El Paso, TX 79938-9271

Mailing address

3607 Rivera Ave.
El Paso, TX 79905-2415
Phone (915) 533-7057

Other names 1

  • MONTANA VISTA HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000276 TX Part A Provider - Federally Qualified Health Center (FQHC) 4486614765 Practice locations: El Paso, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588802102. Details of each certification follow.

Federally qualified health center certification: CCN 671927

Legal name
PROJECT VIDA HEALTH CENTER
Doing business as
MONTANA VISTA HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 23, 2009
Last certification
Oct 23, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 2003 in TX
Enrollment address
14900B Greg Dr
El Paso, TX 79938-9271

Other NPIs with the same Medicare PAC ID 10

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1097797Project Vida Health Center Montana Vista14900 Greg Drive, El Paso, TX 79938Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Project Vida Health Center Inc37 organizations share this tax ID, including this one
Part of
Project Vida Health Center Inc

Other organizations with this tax ID 36

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

View all 36

Locations

14900B Greg Dr
El Paso, TX 79938
Phone (915) 855-3222

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Patrick Bramblett Individual Corporate DirectorBoard Member Jan 1, 2018
Rene Rocha Individual Corporate DirectorCfo Apr 1, 2021
William Schlesinger Individual Corporate OfficerChief Executive Officer Jan 1, 2004
Corporate DirectorChief Executive Officer Jan 1, 2004
W-2 Managing EmployeeChief Executive Officer Jan 1, 2004
Melanie a Matthys Individual Corporate DirectorBoard Secretary Jan 1, 2018
Andrew Velazquez Individual Corporate DirectorBoard Member Sep 1, 2018
Steve M Wagner Individual Corporate DirectorBoard Member Jan 1, 2016
Project Vida Health Center Organization Corporation, Non-profit Other Jan 1, 2022
Jesus Gonzales Individual Corporate DirectorBoard Member Jan 1, 2016
Carlos J Cluggy - Soto Individual Corporate DirectorBoard Treasurer Jan 1, 2017
Ira N Locke Individual Corporate DirectorBoard Member Jan 1, 2017
Luis Raul Garza Individual Corporate DirectorMedical Director Jan 1, 2014
Lee Ann Bondurant Individual Corporate DirectorBoard Chair Mar 1, 2009

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Mountain View High SchoolEl Paso, TX, CCN 971003 Federally qualified health center Other Jan 1, 2022

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1588802102",
    "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": "14900B GREG DR.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799389271",
            "telephone_number": "915-857-2638",
            "fax_number": "915-857-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VIDA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROJECT VIDA HEALTH CENTER",
        "enumeration_date": "2009-02-04",
        "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": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "915-533-7057"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTANA VISTA HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.