Organization Active NPI

Valley AIDS Council

  • Specialist
  • Harlingen, TX
National Provider Identifier
1740223379
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALLEY AIDS COUNCIL
Practice address
2306 Camelot Plaza Cir
Harlingen, TX 78550-8984
Phone
(956) 428-2653
Fax
(956) 428-9538
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Wally Cantu
Title
Chief Executive Officer
Phone
(956) 428-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2306 Camelot Plaza Cir
Harlingen, TX 78550-8984

Mailing address

2306 Camelot Plaza Cir
Harlingen, TX 78550-8984
Phone (956) 428-2653

Other identifiers 2

IdentifierTypeStateIssuer
083627202MedicaidTX
00L08GOtherTXBCBS OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000129 TX Part B Supplier - Clinic/Group Practice 9638127376 Receives reassigned benefits from 7 practitioners
Practice locations: Brownsville, TX; Harlingen, TX; McAllen, TX

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
45D0958027Valley AIDS Council2306 Camelot Plaza Circle, Harlingen, TX 78550Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

857 E Washington St
Ste G
Brownsville, TX 78520
Phone (956) 541-2600

418 E Tyler Ave
Ste B
Harlingen, TX 78550
Phone (956) 428-9322

300 S Col Rowe Blvd
Ste 101
McAllen, TX 78501
Phone (956) 541-2600

300 S 2nd St
McAllen, TX 78501
Phone (956) 537-6827

300 S 2nd St
#101
McAllen, TX 78501

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1740223379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 CAMELOT PLAZA CIR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508984",
            "telephone_number": "956-428-2653",
            "fax_number": "956-428-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 CAMELOT PLAZA CIR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508984",
            "telephone_number": "956-428-2653",
            "fax_number": "956-428-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY AIDS COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "WALLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "956-428-2653"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083627202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00L08G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.