Northwest Community Health Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NORTHWEST COMMUNITY HEALTH CENTER

Practice address

7065 Second St
Canutillo, TX 79835

Phone

(915) 532-9000

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Albert Barraza

Title

Director

Phone

(915) 532-9000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1861701484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798350010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 SECOND ST",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "79835",
            "telephone_number": "915-532-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BARRAZA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-532-9000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy McGoldrick, LMHC
• Antonio Mendez Jr., LMHC
• Amissa Metcalf, LMT, CLD, E-RYT500
• Angelica Murillo, MSC, LPC-1, LMHC
• Jezebelle S. Nielsen, RDN
• Jackie Lynn Ordaz, LMSW
• Veronica L Pinon, LMSW
• PK Pharma LLC
• Project Vida Health Center
• James M Quarrell

• All providers in Canutillo, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.