Northside Clinic is a
Clinic/center - Federally Qualified Health Center (fqhc) based in Del Rio, Texas. Northside Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
3809 Veterans Blvd, Del Rio, Texas. It can be reached at their office (for appointments etc.) via phone at
(830) 488-6961.
NPI number for Northside Clinic is 1912733817 and their current mailing address is Po Box 1470, Eagle Pass, Texas. Northside Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912733817.
Healthcare Provider's Profile
| Full Name | Northside Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
|---|
| Location | 3809 Veterans Blvd, Del Rio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912733817
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/13/2024
Medical Identifiers
Medical identifiers for Northside Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912733817 | NPI | - | NPPES |
| 1378093-02 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northside Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northside Clinic
Po Box 1470,
Eagle Pass, TX 78853-1470
Ph: (830) 773-8917 | Northside Clinic
3809 Veterans Blvd,
Del Rio, TX 78840-2860
Ph: (830) 488-6961 |
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