Active NPI
El Centro del Barrio, Inc.
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
National Provider Identifier
1861566879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- HBOCS00758-04-00
- Legal business name
- EL CENTRO DEL BARRIO, INC.
- Practice address
- 510 Belknap PL
San Antonio, TX 78212-3400 - Phone
- (210) 737-1212
- Fax
- (210) 737-1221
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chuck Walzel
- Title
- Cfo
- Phone
- (210) 922-0103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | HBOCS00758-04-00 | TX | Primary |
Addresses
Primary practice location
510 Belknap PL
San Antonio, TX 78212-3400
Mailing address
3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-0103
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00MT08 | Other | TX | GROUP MEDICARE |
| 120980101 | Medicaid | TX | |
| 120980103 | Medicaid | TX | |
| 120980105 | Medicaid | TX | |
| 120980102 | Medicaid | TX |
Other names 1
- RCSA Daycare Clinic
National Provider Directory
National Provider DirectoryLocations
510 Belknap Pl
San Antonio, TX 78212
Phone (210) 737-1212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1861566879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-922-0103",
"fax_number": "210-271-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BELKNAP PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123400",
"telephone_number": "210-737-1212",
"fax_number": "210-737-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL CENTRO DEL BARRIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "WALZEL",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "210-922-0103"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "TX",
"license": "HBOCS00758-04-00",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "00MT08",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120980101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120980103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120980105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120980102",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RCSA Daycare Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.