Centromed South Park Medical Clinic
LBN: El Centro Del Barrio, Inc.
Centromed South Park Medical Clinic is an health care organization with primary practice located at 6315 S Zarzamora St , San Antonio TX 78211-3218. 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) 977-7910, or through Walzel, Chuck via phone (210) 334-3724.
Contact Information
Primary practice address
6315 S Zarzamora St
San Antonio TX 78211-3218
Phone: (210) 977-7910
Fax: (210) 924-2165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | H76HA00124 | Texas |
Profile Details
| NPI number | 1538264429 |
|---|---|
| LBN Legal business name | El Centro Del Barrio, Inc. |
| DBA Doing business as | Centromed South Park Medical Clinic |
| Authorized official | Walzel, Chuck MBA, CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Oct 11th, 2019 - about 6 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 | 1538264429 | NPPES |
| Texas | Other | 00MT08 | GROUP MEDICARE |
| Texas | MEDICAID | 120980103 | GROUP MEDICARE |
| Texas | MEDICAID | 120980105 | GROUP MEDICARE |
| Texas | MEDICAID | 120980101 | GROUP MEDICARE |
| Texas | MEDICAID | 120980102 | GROUP MEDICARE |
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