EL DORADO TEXAS COMMUNITY SERVICE CENTER - NPI 1003361262

Q: What is El Dorado Texas Community Service Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

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About El Dorado Texas Community Service Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EL DORADO TEXAS COMMUNITY SERVICE CENTER (NPI 1003361262) is a healthcare organization registered as a methadone in Brownsville, Texas and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Cynthia Ann Blanks, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003361262

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameEL DORADO TEXAS COMMUNITY SERVICE CENTER

Location Address954 E MADISON STBrownsville, TX 78520-5950

Mailing Address954 E Madison StBrownsville, TX 78520-5950 · (956) 550-9970 · Fax (965) 982-4294

Phone(956) 550-9970

Fax(965) 982-4294

Organization SubpartNo

Authorized OfficialCynthia Ann BlanksExecutive Director · (661) 254-6630

Enumeration DateAugust 17, 2016

Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1003361262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in TX · 30484

Definition

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

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

954 E MADISON ST, Brownsville, TX 78520

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Other Names 1

Other NameBrownsville Health Services

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1023604

El Dorado Texas Community Service Center · Brownsville, TX

Active · expires Mar 17, 2028

CLIA Number45D1023604

Laboratory TypeNtp Otp

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorJonathan Yamaguchi

Laboratory Phone(956) 787-3544

Laboratory LocationEl Dorado Texas Community Service Center954 E Madison Street, Brownsville, TX 78520

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D0951366

El Dorado Community Service Center · Inglewood, CA

Active · expires Sep 15, 2026

CLIA Number05D0951366

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 2026

Laboratory DirectorMichael Yadegari

Laboratory Phone(661) 254-6630

Laboratory LocationEl Dorado Community Service Center4450 W Century Blvd, Inglewood, CA 90304

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGALY SALDANA

Counselor (Addiction (Substance Use Disorder))