Samm Shelter Clinic

LBN: El Centro Del Barrio, Inc.
Samm Shelter Clinic is an health care organization with primary practice located at 920 W. Commerce , San Antonio TX 78207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. El Centro Del Barrio, Inc. can be contacted via phone (210) 227-2801, or through Walzel, Chuck via phone (210) 922-0103.

Contact Information

Primary practice address
920 W. Commerce San Antonio TX 78207
Fax: (210) 227-2875
Website:
Authorized official contact:
Name: Walzel, Chuck

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X HBOCS00758-04-00 Texas

Profile Details

NPI number 1083787808
LBN Legal business name El Centro Del Barrio, Inc.
DBA Doing business as Samm Shelter Clinic
Authorized official Walzel, Chuck
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083787808 NPPES
Texas MEDICAID 120980103
Texas MEDICAID 120980101
Texas Other 00MT08
Texas MEDICAID 120980102
Texas MEDICAID 120980105

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