Active NPI
Project Vida Health Center
- Federally Qualified Health Center (FQHC)
- El Paso, TX
National Provider Identifier
1912418997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PROJECT VIDA HEALTH CENTER
- Practice address
- 150 Nonap Rd
El Paso, TX 79928-5115 - Phone
- (915) 533-7057
- Fax
- (915) 533-7158
- NPI assigned
- Oct 18, 2017
- 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
- William David Schlesinger
- Title
- Ceo
- Phone
- (915) 533-7057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
150 Nonap Rd
El Paso, TX 79928-5115
Mailing address
3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 533-7057
Other names 1
- Mission Ridge Elementary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 451027
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MISSION RIDGE ELEMENTARY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 6, 2018
- Last certification
- Dec 6, 2018
- Ownership / control type
- For profit – corporation
- Facility address
- 150 Nonap Road
El Paso, TX 79928
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1912418997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 RIVERA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052415",
"telephone_number": "915-533-7057",
"fax_number": "915-533-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NONAP RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799285115",
"telephone_number": "915-533-7057",
"fax_number": "915-533-7158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT VIDA HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "SCHLESINGER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "915-533-7057"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Ridge Elementary",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.