CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC – NPI #1699841569
Clinic/Center
CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1699841569 to CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC on November 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC” is a dba name, the actual legal business name for this organization is EL CENTRO DEL BARRIO, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, 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)
The NPI profile was previously updated about 7 years ago on Oct 25, 2019. 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 CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC below.
NPI Profile for
EL CENTRO DEL BARRIO, INC.
(more than 19 years ago)
All associated names:
CentroMed Santa Rosa Clinic/Ryan White Clinic
CentroMed Santa RosaClinic/Ryran White Clinic
SUITE # 103
SAN ANTONIO, TX 78207-3154 Phone: (210) 922-7000 Fax: (210) 924-1374
SAN ANTONIO, TX 78221-3117 Phone: (210) 334-3700 Fax: (210) 922-0162
VP/CFO
Phone: (210) 334-3724
Identifiers for CENTROMED SANTA ROSACLINIC/RYRAN WHITE CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | GROUP MEDICARE | TX | 00MT08 |
| MEDICAID | TX | 120980101 | |
| MEDICAID | TX | 120980103 | |
| MEDICAID | TX | 120980105 | |
| MEDICAID | TX | 120980102 |
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) |
TX | HBOCS00758-04-00 |
| 261Q00000X - Clinic/Center |
TX | HBOCS00758-04-00 |
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.