NPIMap

Organization Active NPI

United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Del Rio, TX
National Provider Identifier
1891356655
Registry record updated Apr 15, 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
Doing business as
United Medical Centers
Practice address
119 E Academy St
Del Rio, TX 78840-6072
Phone
(830) 422-3305
Fax
(855) 458-3317
NPI assigned
Jun 24, 2019
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Interventional Cardiology Physician 207RI0011X
Obstetrics & Gynecology Physician 207V00000X
Otolaryngology Physician 207Y00000X
Pediatrics Physician 208000000X
General Practice Physician 208D00000X
Podiatrist 213E00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician Assistant 363A00000X
Family Nurse Practitioner 363LF0000X
Pediatric Nurse Practitioner 363LP0200X
Women's Health Nurse Practitioner 363LW0102X

Addresses

Primary practice location

119 E Academy St
Del Rio, TX 78840-6072

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
414752201MedicaidTX
1378093-02MedicaidTX

Other names 2

  • United Medical Centers Doing business as
  • East Academy Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108000523 TX Part A Provider - Federally Qualified Health Center (FQHC) 7618957135 Practice locations: Del Rio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891356655. Details of each certification follow.

Federally qualified health center certification: CCN 451098

Legal name
UNITED MEDICAL CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 7, 2020
Last certification
Jan 7, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 1978 in TX
Enrollment address
119 E Academy St
Del Rio, TX 78840-6072

Other NPIs with the same Medicare PAC ID 10

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
45D2170327LBN United Medical Centers / Site Name119 East Academy Street, Del Rio, TX 78840Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
United Medical Centers10 organizations share this tax ID, including this one
Part of
United Medical Centers

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alma Gonzalez Individual W-2 Managing EmployeeHealthcare System Compliance Coo Nov 18, 2019 100%
William M Worrell Individual Corporate OfficerChief Executive Officer Nov 18, 2019 100%
Operational/Managerial ControlChief Executive Officer Nov 18, 2019 100%
Mario Pola Individual Corporate OfficerGrant Administrator / Assistant Nov 18, 2019 100%
Operational/Managerial ControlGrant Administrator / Assistant Nov 18, 2019 100%
Lydia T Olvera Individual W-2 Managing EmployeeClinic Manager Nov 18, 2019 100%
Rafael E Olvera Individual Corporate OfficerChief Financial Officer Nov 18, 2019 100%
Operational/Managerial ControlChief Financial Officer Nov 18, 2019 100%

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1891356655",
    "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": "119 E ACADEMY ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788406072",
            "telephone_number": "830-422-3305",
            "fax_number": "855-458-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED MEDICAL CENTERS",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "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": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414752201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1378093-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Academy Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.