EL DORADO TEXAS COMMUNITY SERVICES CENTER – NPI #1114077377
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

EL DORADO TEXAS COMMUNITY SERVICES CENTER is an AHC clinic located in BROWNSVILLE, TX. NPPES has assigned the NPI number 1114077377 to EL DORADO TEXAS COMMUNITY SERVICES CENTER on January 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

The NPI profile was previously updated about 4 years ago on Aug 30, 2022. 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 EL DORADO TEXAS COMMUNITY SERVICES CENTER below.

NPI Profile for
EL DORADO TEXAS COMMUNITY SERVICES CENTER

NPI Number
1114077377
Enumeration Date

(more than 19 years 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
EL DORADO TEXAS COMMUNITY SERVICES CENTER
Primary location
954 E MADISON ST
BROWNSVILLE, TX 78520-5950
Phone: (956) 550-9970 Fax: (956) 982-4294
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PRAMESH SHARMA
DIRECTOR OF ADMINISTRATION
Phone: (661) 313-5503
Updated
Certification Date
Aug 30, 2022

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.

Identifiers

Identifiers for EL DORADO TEXAS COMMUNITY SERVICES CENTER

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.

DescriptionIssuerStateIdentifier
OTHERSTATE OTP LICENSETX1000057
MEDICAIDTX175582901
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.

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.