CENTROMED SOUTHSIDE MEDICAL CLINIC
NPI 1104998749
Clinic/Center - Federally Qualified Health Center (FQHC) in San Antonio, TX

Q: What is El Centro Del Barrio Inc's NPI number?

The NPI number for El Centro Del Barrio Inc is 1104998749. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Centromed Southside Medical Clinic.

Q: What is El Centro Del Barrio Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 15, 2006

3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221(210) 334-3700(210) 922-0162 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Centromed Southside Medical Clinic NPPES

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

CENTROMED SOUTHSIDE MEDICAL CLINIC (NPI 1104998749) is a healthcare organization registered as a federally qualified health center (fqhc) in San Antonio, Texas and active in the NPI registry since November 2006. The organization lists Chuck Walzel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104998749

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEL CENTRO DEL BARRIO INC

Location Address3750 COMMERCIAL AVESan Antonio, TX 78221-3117

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 334-3700 · Fax (210) 922-0162

Phone(210) 334-3700

Fax(210) 922-0162

Organization SubpartNo

Authorized OfficialChuck WalzelCfo · (210) 334-3724

Enumeration DateNovember 15, 2006

Last NPPES UpdateAugust 18, 2011

✔ NPI 1104998749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in TX · HBOCS00758-04-00

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License HBOCS007758-04-00 (TX)

3750 COMMERCIAL AVE, San Antonio, TX 78221

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Other Names 1

Doing Business AsCentromed Southside Medical Clinic

Other Identifiers 7

Medicaid120980101TX

Medicaid120980102TX

OtherG60232-01TX · Delta Dental

Medicare OSCAR/certification671800TX

Medicaid120980106TX

Other00MT08TX · Group Medicare

Medicaid120980103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. HERBERT GUZMAN-CRUZ M.D.

Obstetrics & Gynecology