| Project Vida Health Center | |
|
3216 Tim Foster Street El Paso TX 79938 | |
| (915) 533-7057 | |
| (915) 533-7158 |
| Full Name | Project Vida Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3216 Tim Foster Street, El Paso, Texas |
| Authorized Official Name and Position | William David Schlesinger (CEO) |
| Authorized Official Contact | 9155337057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Vida Health Center 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 533-7057 | Project Vida Health Center 3216 Tim Foster Street El Paso TX 79938 Ph: (915) 533-7057 |
| NPI Number | 1033681564 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 4486614765 |
|---|---|
| Medicare Enrollment ID | O20190617000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033681564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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