VIDA Y SALUD-HEALTH SYSTEMS INC NPI 1770511032

NPI Information

NPI: 1770511032
Provider Name: VIDA Y SALUD-HEALTH SYSTEMS INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D0506302

Address:
308 S CESAR CHAVEZ AVE
CRYSTAL CITY, TX
ZIP 78839
Phone: (830) 374-2301
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VIDA Y SALUD-HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Crystal City, TX. VIDA Y SALUD-HEALTH SYSTEMS INC NPI is 1770511032. The provider is registered as an organization entity type.

The provider's business location address is:

308 S CESAR CHAVEZ AVE
CRYSTAL CITY, TX
ZIP 78839-200
Phone: (830) 374-2301
Fax: (830) 374-9368

The provider's authorized official is Nora Tellez .
The authorized official title is Chief Executive Officer and has the following contact phone number (830) 374-2301.

The CLIA number assigned to this NPI record is 45D0506302 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/6/2015.

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	00BK60	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	133329603	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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