CENTRO SAN VICENTE
NPI 1841480902
Clinic/Center - Federally Qualified Health Center (FQHC) in El Paso, TX

NPI Status: Active since July 25, 2007

Contact Information

1208 MYRTLE AVE
EL PASO, TX
ZIP 79901
Phone: (915) 351-8972

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 45D0965126
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 09-12-2025

About CENTRO SAN VICENTE

This page provides the complete NPI Profile along with additional information for Centro San Vicente, a primary care provider established in El Paso, Texas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1841480902 assigned on July 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Jose Luna Jr. Md (Chief Executive Officer)

NPI
1841480902
Provider Name
CENTRO SAN VICENTE
Entity Type
Organization
Location Address
1208 MYRTLE AVE EL PASO, TX 79901
Location Phone
(915) 351-8972
Mailing Address
1208 MYRTLE AVE EL PASO, TX 79901
Mailing Phone
(915) 351-8972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2007
Last Update Date
04-30-2014
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A primary care provider (PCP) like Centro San Vicente 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

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

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

DR. JOSE LUNA JR. MD

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(915) 225-0670

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
130880107MEDICAID (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
45D0965126
Facility Type
Community Clinic
Certificate Effective Date
September 13, 2023
Certificate Expiration Date
September 12, 2025
Laboratory Director
JOSE LUNA JR MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centro San Vicente 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.

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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.
1841480902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288188090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 8 + 8 + 0 + 9 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1841480902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841480902, enumerated as an "organization" on July 25, 2007.

The provider is located at 1208 MYRTLE AVE EL PASO, TX 79901 and the phone number is (915) 351-8972.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.