NPIMap

Organization Active NPI

United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
National Provider Identifier
1710980669
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED MEDICAL CENTERS
Practice address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Phone
(830) 773-5358
Fax
(830) 773-0258
NPI assigned
May 24, 2005
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
William Worrell
Title
Ceo
Phone
(830) 773-8917

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Women's Health Nurse Practitioner 363LW0102X NU
Professional Counselor 101YP2500X NU
General Practice Dentistry 1223G0001X TX
Family Medicine Physician 207Q00000X TX
Internal Medicine Physician 207R00000X TX
Interventional Cardiology Physician 207RI0011X NU
Pediatrics Physician 208000000X TX
General Practice Physician 208D00000X NU
Podiatrist 213E00000X TX
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2525 N Veterans Blvd
Eagle Pass, TX 78852-3302

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917

Other identifiers 2

IdentifierTypeStateIssuer
137809302 (GROUPALL)MedicaidTX
137809307 FQHC SITEMedicaidTX

Other names 1

  • UNITED MEDICAL CENTERS, INC Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040723000732 TX Part A Provider - Federally Qualified Health Center (FQHC) 7618957135 Practice locations: Eagle Pass, TX
O20040817000497 TX Part B Supplier - Clinic/Group Practice 7618957135 Receives reassigned benefits from 86 practitioners
1 other NPI on this enrollment
Practice locations: Del Rio, TX; Eagle Pass, TX; Brackettville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710980669. Details of each certification follow.

Federally qualified health center certification: CCN 451853

Legal name
UNITED MEDICAL CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 1978 in TX
Enrollment address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302

Facilities connected through Provider of Services related, parent or unit certification numbers.

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 1

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

National Provider Directory

National Provider Directory

Locations

913 S Main St
Del Rio, TX 78840
Phone (830) 774-5534

1175 Eidson Rd
Eagle Pass, TX 78852
Phone (830) 757-6946

2525 N Veterans Blvd
#2
Eagle Pass, TX 78852

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
Lee Canty Individual Corporate DirectorBoard Member Jan 23, 2019
Alma Gonzalez Individual W-2 Managing EmployeeHealth Systems Compliance Coordi Sep 27, 2014
Gene Jr. Mireles Individual Corporate DirectorBoard Member Nov 19, 1992
William M Worrell Individual Corporate OfficerCeo Jan 14, 2016 100%
Operational/Managerial ControlCeo Jan 14, 2016 100%
Francisco III Martinez Individual Corporate DirectorBoard Member Oct 30, 2014
Jose de Luna Individual Corporate DirectorBoard President Mar 18, 2013
Benjamin Rodriguez Individual Corporate DirectorBoard Secretary Jan 23, 2019
Santa Calderon Individual W-2 Managing EmployeeAdministrative Assistant II Oct 1, 2014
James Hoback Individual Corporate DirectorBoard Vice President Sep 28, 2010
Hector Alvarez Individual Corporate DirectorBoard Member-Secretary Dec 14, 2011
Lydia T Olvera Individual W-2 Managing EmployeeClinic Manager Nov 17, 2017
Frank Mendoza Individual Corporate DirectorBoard Member May 29, 2013
Rafael E Olvera Individual Corporate OfficerChief Financial Officer Jun 18, 2010 100%
W-2 Managing EmployeeChief Financial Officer Jun 18, 2010 100%
Operational/Managerial ControlChief Financial Officer Jun 18, 2010 100%
Margarita Andrade Individual Corporate DirectorBoard Member Jul 31, 1996
Maria Martinez Individual Corporate DirectorBoard Member-Treasurer Mar 18, 2013
Stephanie S Alsup Individual Corporate DirectorBoard Member May 27, 2015

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 12

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1710980669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-5358",
            "fax_number": "830-773-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-773-8917"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137809302 (GROUPALL)",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137809307  FQHC SITE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED MEDICAL CENTERS, INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UNITED MEDICAL CENTERS, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.