NUESTRA CLINICA DEL VALLE INC NPI 1104057504

NPI Information

NPI: 1104057504
Provider Name: NUESTRA CLINICA DEL VALLE INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2110499

Address:
2891 E GRANT ST
ROMA, TX
ZIP 78584
Phone: (956) 849-2100
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NUESTRA CLINICA DEL VALLE INC is a federally qualified health center (fqhc) clinic center in Roma, TX. NUESTRA CLINICA DEL VALLE INC NPI is 1104057504. The provider is registered as an organization entity type.

The provider's business location address is:

2891 E GRANT ST
ROMA, TX
ZIP 78584
Phone: (956) 849-2100
Fax: (956) 787-8915

The provider's authorized official is Maria L Torres .
The authorized official title is Chief Executive Officer and has the following contact phone number (956) 787-8915.

The CLIA number assigned to this NPI record is 45D2110499 - other - comm health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	314308302	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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