Project Vida Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PROJECT VIDA HEALTH CENTER

Doing business as

Ft. Hancock
Project Vida Health Center-Ft. Hancock

Practice address

561 Knox
Fort Hancock, TX 79839

Phone

(915) 465-1191

Fax

(905) 533-7158

NPI assigned

Dec 2, 2011

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Davenport-Herbst

Title

Ceo

Phone

(915) 465-1191

Specialties & licenses 1

Addresses

Other names 2

• Ft. Hancock Doing business as
• Project Vida Health Center-Ft. Hancock Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922376128. Details of each certification follow.

• CCN 741817 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 741817

Legal name

PROJECT VIDA HEALTH CENTER - FTHANCOCK CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 6, 2013

Last certification

May 6, 2013

Ownership / control type

For profit – corporation

Facility address

561 S Knox
Fort Hancock, TX 79839

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Project Vida Health Center Inc

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.

• Mary Anne Ayala

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1902465289
  NPD (past)
• Jasmine Peralta, PA-C

  • Physician Assistant
  • El Paso, TX
  • NPI 1497262471
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1922376128",
    "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": "915-465-1191",
            "fax_number": "915-533-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 KNOX",
            "city": "FORT HANCOCK",
            "state": "TX",
            "postal_code": "79839",
            "telephone_number": "915-465-1191",
            "fax_number": "905-533-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VIDA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT-HERBST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-465-1191"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft. Hancock",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Project Vida Health Center-Ft. Hancock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hudspeth County E S D 1 (Fort Hancock EMS)
• Project Vida Health Center (Ft. Hancock Clinic)
• Natalie Rodriguez

• Federally Qualified Health Center (FQHC) in Fort Hancock, TX
• Providers in Fort Hancock, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.
• 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.