NUESTRA CLINICA DEL VALLE INC NPI 1861829079

NPI Information

NPI: 1861829079
Provider Name: NUESTRA CLINICA DEL VALLE INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D0054650

Address:
1518 E. SANTA ROSA
EDCOUCH, TX
ZIP 78538
Phone: (956) 262-1363
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NUESTRA CLINICA DEL VALLE INC is a federally qualified health center (fqhc) clinic center in Edcouch, TX. NUESTRA CLINICA DEL VALLE INC NPI is 1861829079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1518 E. SANTA ROSA
EDCOUCH, TX
ZIP 78538-098
Phone: (956) 262-1363
Fax: (956) 262-1840

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

The CLIA number assigned to this NPI record is 45D0054650 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/2/2013 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 State	Primary
1	207Q00000X	Family Medicine		TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	TEXAS	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	TEXAS	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	019057101	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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