YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER NPI 1144390147

NPI Information

  • NPI: 1144390147
  • Provider Name: YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
  • Classification: Clinic/Center - 261QP0904X
  • Specialization: Public Health, Federal
  • Entity Type: Organization
  • CLIA Number: 45D0891112
  • Address: 9473 SOCORRO RD
    EL PASO, TX
    ZIP 79907
  • Phone: (915) 860-6113

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NPI Details

YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER is a public health and federal clinic center in El Paso, TX. YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER NPI is 1144390147. The provider is registered as an organization entity type.

The provider's business location address is:

9473 SOCORRO RD
EL PASO, TX
ZIP 79907
Phone: (915) 860-6113
Fax: (915) 860-6166

The provider's authorized official is Martin Lopez .
The authorized official title is Hhs Director and has the following contact phone number (915) 858-1076.

The CLIA number assigned to this NPI record is 45D0891112 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 11/20/2024.

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
1261Q00000XClinic/Center17718TEXASNo
2261Q00000XClinic/CenterNo
3261QP0904XClinic/CenterPublic Health, FederalYes
4261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1603-1603ATEXASNo
5343800000XSecured Medical Transport (VAN)No

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
1092524001MEDICAIDTEXAS
24480063-01MEDICAIDTEXAS

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: 3/30/2025

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