YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
NPI 1144390147
Clinic/Center - Public Health, Federal in El Paso, TX

NPI Status: Active since November 08, 2006

Contact Information

9473 SOCORRO RD
EL PASO, TX
ZIP 79907
Phone: (915) 860-6113
Fax: (915) 860-6166

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Public Health, Federal
Accepts Insurance
CLIA Number: 45D0891112
CLIA Cert. Type: Other
CLIA Exp. Date: 08-30-2026

About YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Ysleta Del Sur Pueblo Community Health Center, a primary care provider established in El Paso, Texas operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1144390147 assigned on November 2006. The practitioner's primary taxonomy code is 261QP0904X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Martin Lopez (Hhs Director)

NPI: 1144390147
Provider Name: YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
Entity Type: Organization
Location Address: 9473 SOCORRO RD EL PASO, TX 79907
Location Phone: (915) 860-6113
Location Fax: (915) 860-6166
Mailing Address: 9473 SOCORRO RD EL PASO, TX 79907
Mailing Phone: (915) 858-1076
Mailing Fax: (915) 860-6166
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-08-2006
Last Update Date: 11-20-2024
Code Navigator

A primary care provider (PCP) like Ysleta Del Sur Pueblo Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Public Health, Federal
Taxonomy Code: 261QP0904X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center	17718 (TX)
2	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
3	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center Rehabilitation, Substance Use Disorder	1603-1603A (TX)
4	343800000X	Transportation Services	Secured Medical Transport (VAN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

Ambetter from Arizona Complete Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter from Arkansas Health & Wellness

Choice Bronze HSA (QualChoice) - POS
Complete Gold - PPO
Complete Gold + Vision + Adult Dental - PPO
Complete Silver (QualChoice) - POS
Connected Silver - PPO
Connected Silver (QualChoice) - POS
Connected Silver (QualChoiceLife) - PPO
Connected Silver + Vision + Adult Dental - PPO
Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold (QualChoice) - POS
Elite Gold (QualChoiceLife) - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Everyday Silver (QualChoiceLife) - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO
Standard Expanded Bronze - PPO

Ambetter from Louisiana Healthcare Connections

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Ambetter from Superior HealthPlan

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Ambetter of Oklahoma

Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold - PPO
Elite Gold + Vision + Adult Dental - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO
Standard Expanded Bronze - PPO
Standard Expanded Bronze + Vision + Adult Dental - PPO
Standard Gold - PPO
Standard Gold + Vision + Adult Dental - PPO
Standard Silver - PPO

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204 - HMO
Blue Advantage Bronze HMO? 301 - HMO
Blue Advantage Bronze HMO? Standard - HMO
Blue Advantage Gold HMO? 206 - HMO
Blue Advantage Gold HMO? 603 - HMO
Blue Advantage Gold HMO? Standard - HMO
Blue Advantage Plus Bronze? 303 - POS
Blue Advantage Plus Bronze? 305 - POS
Blue Advantage Plus Bronze? Standard - POS
Blue Advantage Plus Gold? 203 - POS
Blue Advantage Plus Gold? 803 - POS
Blue Advantage Plus Gold? Standard - POS
Blue Advantage Plus Silver? 202 - POS
Blue Advantage Plus Silver? 605 - POS
Blue Advantage Plus Silver? Standard - POS
Blue Advantage Security HMO? 200 - HMO
Blue Advantage Silver HMO? 205 - HMO
Blue Advantage Silver HMO? 801 - HMO
Blue Advantage Silver HMO? Standard - HMO

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 12 - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

WellPoint

Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. MARTIN LOPEZ
Authorized Official Title: HHS DIRECTOR
Authorized Official Phone: (915) 858-1076

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
092524001	MEDICAID (05)	TX
4480063-01	MEDICAID (05)	TX

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 45D0891112
Facility Type: Other
Certificate Effective Date: August 31, 2024
Certificate Expiration Date: August 30, 2026
Laboratory Director: LORENA SILVESTRE-TOBIAS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Ysleta Del Sur Pueblo Community Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	4	4	3	9	0	1	4	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	8	4	6	9	0	1	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 6 + 9 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1144390147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.