Organization · Type 2 NPI

Project Vida Health Center

Federally Qualified Health Center (FQHC) · Canutillo, TX

NPI number 1073993184 Active

Practice location

7000 E. 5th Street
Canutillo, TX 79835

Call (915) 549-7212 Map

Fax (915) 886-4579

Mailing address

3607 Rivera Ave
El Paso, TX 79905-2415

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1073993184
Entity type: Organization (Type 2)
Issued: Jun 3, 2015
Last updated: Mar 13, 2018
Status: Active
Subpart: Yes of Project Vida Health Center

Other names

<unavail>
Canutillo Health Center · doing business as

Authorized official

William Schlesinger
Chief Executive Officer
(915) 533-7057

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073993184

Project Vida Health Center's National Provider Identifier is 1073993184, issued on Jun 3, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Canutillo, TX. The record was last updated on Mar 13, 2018.