NPIMap

Organization Active NPI

Gateway Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
National Provider Identifier
1639952856
Registry record updated Mar 26, 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
7210 McPherson Rd Ste 108
Laredo, TX 78041-6551
Phone
(956) 722-6777
NPI assigned
Aug 14, 2023
Organization subpart
Yes
Parent organization
GATEWAY COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 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) 523-3645

Specialties & licenses 1

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

Addresses

Primary practice location

7210 McPherson Rd Ste 108
Laredo, TX 78041-6551

Mailing address

PO Box 3397
Laredo, TX 78044-3397
Phone (956) 795-8100

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
O20231011001585 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 1639952856. Details of each certification follow.

Federally qualified health center certification: CCN 671146

Legal name
GATEWAY COMMUNITY HEALTH CENTER INC
Doing business as
GCHC - DR. MARTINEZ
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 19, 2023
Last certification
Sep 19, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 10, 2023 in TX
Enrollment address
7210 McPherson Rd
Ste 108
Laredo, TX 78041-6551

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 South Clinic26 organizations share this tax ID, including this one
Part of
Gateway Community Health Center Inc South Clinic

Other organizations with this tax ID 25

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

View all 25

Locations

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

7210 McPherson Rd
Ste 108
Laredo, TX 78041
Phone (956) 722-6777

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Oralia Garcia Individual Corporate DirectorBoard Member Mar 25, 2013
Elmo Lopez Individual Corporate OfficerCeo Oct 1, 2015
W-2 Managing EmployeeCeo Oct 1, 2015
Juan Sanchez Individual Corporate DirectorBoard Member Jun 27, 2017
Mark a Requena Individual Corporate OfficerCfo Jul 18, 2022
W-2 Managing EmployeeCfo Jul 18, 2022
Laura Gregory Individual Corporate DirectorBoard Member Feb 26, 2013
Anna M Serna Individual Corporate DirectorBoard Member Mar 17, 2019
Guillermo Trevino Individual Corporate DirectorBoard Member Feb 17, 2022
Elisamar Soto Individual Corporate DirectorBoard Member Aug 16, 2019
Jessica Hernandez Individual Corporate DirectorBoard Member Apr 25, 2023
Oscar Montiel Individual Corporate DirectorBoard Member Oct 27, 2011
Lauro Garcia Individual Corporate DirectorBoard Member Oct 2, 1989
Mery J Cortes-Bergoderi Individual Corporate OfficerCmo Dec 20, 2014
W-2 Managing EmployeeCmo Dec 20, 2014
Antonio S. Arce Individual Corporate DirectorBoard Member Aug 24, 2021
Daniel Cabrera Individual Corporate OfficerCoo Dec 28, 2015
W-2 Managing EmployeeCoo Dec 28, 2015
Oscar Buitron Individual Corporate DirectorBoard Member Feb 23, 2015
Rene Yzaguirre Individual Corporate DirectorBoard Member Mar 10, 2022

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 8

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1639952856",
    "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",
            "telephone_number": "956-795-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 108",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416551",
            "telephone_number": "956-722-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-523-3645"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.