Organization Active NPI

City of Laredo

  • State or Local Public Health Clinic/Center
  • Laredo, TX
National Provider Identifier
1790858769
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF LAREDO
Practice address
2600 Cedar Ave
Laredo, TX 78040-2337
Phone
(956) 795-4900
Fax
(956) 726-2632
NPI assigned
Nov 16, 2006
Organization subpart
Yes
Parent organization
CITY OF LAREDOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Richard A. Chamberlain, DRPH,MPH,CPHA,CPM,
Title
Health Director
Phone
(956) 795-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X TX
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

2600 Cedar Ave
Laredo, TX 78040-2337

Mailing address

2600 Cedar Ave
Laredo, TX 78040-4040
Phone (956) 795-4900

Other practice location 1

2200 Zacatecas St
Laredo, TX 78046-6815
Phone (956) 795-4900 ext. 4901

Other identifiers 13

IdentifierTypeStateIssuer
137917407MedicaidTX
172607701MedicaidTX
137917401MedicaidTX
137917405MedicaidTX
137917412MedicaidTX
137917406MedicaidTX
137917408MedicaidTX
137917402MedicaidTX
172606901MedicaidTX
119881402MedicaidTX
137917403MedicaidTX
137917410MedicaidTX
137917409MedicaidTX

Other names 1

  • City of Laredo Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000943 TX Part B Supplier - Clinic/Group Practice 2668469461 Receives reassigned benefits from 10 practitioners
Practice locations: Laredo, TX

Other NPIs with the same Medicare PAC ID 1

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
45D0663846City of Laredo Health Department2600 Cedar Ave, Laredo, TX 78040Certificate of waiverAug 31, 2026
45D0892806City of Laredo Health Department2600 Cedar Ave, Laredo, TX 78040ComplianceJul 24, 2027

National Provider Directory

National Provider Directory
Part of
Laredo Fire Department

Locations

2600 Cedar Ave
Laredo, TX 78040
Phone (956) 523-7500

2200 Zacatecas St
Laredo, TX 78046
Phone 9567954900 ext. 4901

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1790858769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CEDAR AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780404040",
            "telephone_number": "956-795-4900",
            "fax_number": "956-726-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CEDAR AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780402337",
            "telephone_number": "956-795-4900",
            "fax_number": "956-726-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Zacatecas St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780466815",
            "country_code": "US",
            "telephone_number": "956-795-4900 x4901",
            "fax_number": "956-721-4998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF LAREDO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF LAREDO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-06-12",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "956-795-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH,MPH,CPHA,CPM,"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172607701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917412",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172606901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119881402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137917409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Laredo Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Laredo Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.