United Medical Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Del Rio, TX
NPI 1669786703 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1669786703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- UNITED MEDICAL CENTERS
- Practice address
- 2209 N Bedell Ave
Del Rio, TX 78840-8007 - Phone
- (830) 775-1272
- Fax
- (855) 217-1086
- NPI assigned
- Jul 30, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- UNITED MEDICAL CENTERS
Authorized official
- Name
- William Worrell
- Title
- Ceo
- Phone
- (830) 773-8917
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 9
Related certifications (CCN) 1
Practitioners 25
-
Alberto Aguayo Orozco, M.D.
-
Danny Almaguer, DPM
-
Blake E Barraza, MD
-
Victor Hugo Cruz, M.A., LPC
-
Ethel H Gomez, LPC
-
Cody J Harrison, OD
-
Lee Thomas Keenen Jr., D.P.M.
-
Kennard Lee Kollaus, M.D.
-
Frank C Kretsinger, D.O.
-
Robert Marquinez, M.D.
-
Angel Martinez, M.D.
-
Michael Corry Ringwood, D.P.M.
-
Mostafa M Salama, MD
-
Erika Sandoval, LPC
-
Jay Siu, DO
-
Vivian Viera, M.D.
-
Lon Andrew Walder, D.O.
-
Gaston Ittay Zylberg, M.D.
-
Maria Magdalena Faz, FNP
-
Paul C. Hessler, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2012683 | United Medical Centers Dba Bedell Ave Clinic | Certificate of waiver | Dec 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Federally qualified health center certification: CCN 451926
- Legal name
- UNITED MEDICAL CENTERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 5, 2000
- Last certification
- Sep 5, 2000
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 24, 1978 in TX
- Enrollment address
- 2209 N Bedell Ave
Del Rio, TX 78840-8007 - Related CCNs
- 451853
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Alma Gonzalez |
W-2 Managing Employee |
Sep 27, 2013 | |
| Mario Pola |
Corporate Officer |
Aug 5, 1987 | 100% |
| Operational/Managerial Control |
Aug 5, 1987 | 100% | |
| Lydia T Olvera |
W-2 Managing Employee |
Nov 17, 2017 | |
| Rafael E Olvera |
Corporate Officer |
Jun 18, 2010 | 100% |
| Operational/Managerial Control |
Jun 18, 2010 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140611000857 | TX | Part a Provider - Federally Qualified Health Center (FQHC) | 7618957135 | Practice locations: Del Rio, TX |
National Provider Directory
- Tax ID family
- United Medical Centers
- Part of
- United Medical Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Obstetrics & Gynecology Physician |
207V00000X | TX | ||
| Otolaryngology Physician |
207Y00000X | |||
| Pediatrics Physician |
208000000X | |||
| General Practice Physician |
208D00000X | |||
| Podiatrist |
213E00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | TX | Yes | |
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Pediatric Nurse Practitioner |
363LP0200X | |||
| Women's Health Nurse Practitioner |
363LW0102X |
Addresses
Primary practice location
2209 N Bedell Ave
Del Rio, TX 78840-8007
Mailing address
PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137809302 (GROUPALL) | Medicaid | TX | |
| 137809316 (FQHC SITE | Medicaid | TX |
Other names
- United Medical Centers
- BEDELL AVENUE CLINIC
Other providers in Del Rio, TX
- Angela Torres Ortiz
- Natalia Trevino
- Nereyda Trevino
- Erica Renee Tyler
- United Medical Centers
- United Medical Centers
- United Medical Centers
- United Medical Centers
- United Medical Centers
- Urodel Inc
All providers in Del Rio, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.