PROJECT VIDA HEALTH CENTER – NPI #1093673162
Clinic/Center

PROJECT VIDA HEALTH CENTER is an AHC clinic located in SAN ELIZARIO, TX. NPPES has assigned the NPI number 1093673162 to PROJECT VIDA HEALTH CENTER on January 15, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROJECT VIDA HEALTH CENTER below.

NPI Profile for
PROJECT VIDA HEALTH CENTER

NPI Number
1093673162
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROJECT VIDA HEALTH CENTER
Primary location
13300 CHICKEN RANCH RD
SAN ELIZARIO, TX 79849
Phone: (905) 233-5450 Fax: (915) 533-7158
Mailing address
3607 RIVERA AVE
EL PASO, TX 79905-2415
Phone: (915) 465-1191 Fax: (905) 533-7158
Organization Subpart
No
Authorized Official
TIMOTHY DAVENPORT-HERBST
CEO
Phone: (915) 465-1191
Updated
Certification Date
Jan 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.