Palo Alto Clinic

LBN: El Centro Del Barrio, Inc.
Palo Alto Clinic is an health care organization with primary practice located at 9011 Poteet Jourdanton Fwy , San Antonio TX 78224-2124. 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) 921-6010, or through Walzel, Chuck via phone (210) 334-3724.

Contact Information

Primary practice address
9011 Poteet Jourdanton Fwy San Antonio TX 78224-2124
Fax: (210) 921-6188
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 1730388018
LBN Legal business name El Centro Del Barrio, Inc.
DBA Doing business as Palo Alto Clinic
Authorized official Walzel, Chuck
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 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 1730388018 NPPES
Texas MEDICAID 120980101
Texas MEDICAID 189778701
Texas MEDICAID 120980105
Texas Other 00MT08
Texas MEDICAID 120980102
Texas MEDICAID 120980103

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