La Esperanza Clinic Inc

LBN: La Esperanza Clinic Inc
La Esperanza Clinic Inc is an health care organization with primary practice located at 1610 S Chadbourne St , San Angelo TX 76903-8510. 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. La Esperanza Clinic Inc can be contacted via phone (325) 658-5339, or through Castaneda, Rosie via phone (325) 947-5623.

Contact Information

Primary practice address
1610 S Chadbourne St San Angelo TX 76903-8510
Phone: (325) 658-5339
Fax: (325) 659-8534
Website:
Map and Directions
Authorized official contact:
Name: Castaneda, Rosie
Phone: (325) 947-5623

Health care specialties

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

Profile Details

NPI number 1770584187
LBN Legal business name La Esperanza Clinic Inc
DBA Doing business as
Authorized official Castaneda, Rosie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 8th, 2024 - about 11 months 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 1770584187 NPPES
Texas MEDICAID 111604802
Texas Other 00433T

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