Residential Treatment Center Clinic
LBN: El Centro Del Barrio, Inc.
Residential Treatment Center Clinic is an health care organization with primary practice located at 4040 High Ridge Cir , San Antonio TX 78229-4143. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
El Centro Del Barrio, Inc. can be contacted via phone (210) 212-2525, or through Walzel, Chuck via phone (210) 334-3724.
Contact Information
Primary practice address
4040 High Ridge Cir
San Antonio TX 78229-4143
Phone: (210) 212-2525
Fax: (210) 340-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | HBOCS00758-04-00 | Texas |
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | HBOCS00-04-00 | Texas |
Profile Details
| NPI number | 1356562680 |
|---|---|
| LBN Legal business name | El Centro Del Barrio, Inc. |
| DBA Doing business as | Residential Treatment Center Clinic |
| Authorized official | Walzel, Chuck |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jan 26th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356562680 | NPPES |
| Texas | Other | 00MT08 | GROUP MEDICARE |
| Texas | MEDICAID | 120980105 | GROUP MEDICARE |
| Texas | MEDICAID | 120980102 | GROUP MEDICARE |
| Texas | MEDICAID | 120980101 | GROUP MEDICARE |
| Texas | MEDICAID | 120980103 | GROUP MEDICARE |
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