La Paz Community Health Care Center, Inc.

LBN: Modupeola Adedeji
La Paz Community Health Care Center, Inc. is an health care organization with primary practice located at 530 San Pedro Ave , San Antonio TX 78212-5006. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Modupeola Adedeji can be contacted via phone (210) 697-5700, or through Adedeji, Adediran via phone (210) 697-5700.

Contact Information

Primary practice address
530 San Pedro Ave San Antonio TX 78212-5006
Phone: (210) 697-5700
Fax: (210) 558-9032
Website:
Map and Directions
Authorized official contact:
Name: Adedeji, Adediran
Phone: (210) 697-5700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1336137678
LBN Legal business name Modupeola Adedeji
DBA Doing business as La Paz Community Health Care Center, Inc.
Authorized official Adedeji, Adediran
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 7th, 2008 - about 16 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 1336137678 NPPES
Texas MEDICAID 021375301

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