Ysleta Del Sur Pueblo Community Health Center

LBN: Ysleta Del Sur Pueblo Community Health Center
Ysleta Del Sur Pueblo Community Health Center is an health care organization with primary practice located at 9473 Socorro Rd , El Paso TX 79907. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Public Health, Federal, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Transportation Services / Secured Medical Transport (VAN). Ambulatory Health Care Facilities / Public Health, Federal is the primary health care specialty. Ysleta Del Sur Pueblo Community Health Center can be contacted via phone (915) 860-6113, or through Lopez, Martin via phone (915) 858-1076.

Contact Information

Primary practice address
9473 Socorro Rd El Paso TX 79907
Phone: (915) 860-6113
Fax: (915) 860-6166
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Martin
Phone: (915) 858-1076

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 17718 Texas
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1603-1603A Texas
Transportation Services / Secured Medical Transport (VAN) 343800000X

Profile Details

NPI number 1144390147
LBN Legal business name Ysleta Del Sur Pueblo Community Health Center
DBA Doing business as
Authorized official Lopez, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated May 29th, 2024 - about last year

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 1144390147 NPPES
Texas MEDICAID 092524001

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