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NPI Code Detail

MEDICARE: GATEWAY COMMUNITY HEALTH CENTER, INC.

MEDICARE: GATEWAY COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0005XAmbulatory Family Planning Facility
2261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
31013948447OTHERTXNPI FOR MEDICARE NUMBER 45-1841

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255376976
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 2007 S ZAPATA HWY
Second Line :
City : LAREDO
State : TX
Zip : 78046-6510
Country : US
Telephone Number : 956-795-8101
Fax Number :
Provider Business Practice Location Address
First Line : 2007 S ZAPATA HWY
Second Line :
City : LAREDO
State : TX
Zip : 78046-6510
Country : US
Telephone Number : 956-795-8101
Fax Number : 956-795-8135
Authorized Official
Title or Position : CEO
Name : MR. MIGUEL TREVINO JR.
Credential :
Telephone Number : 956-523-3646
Provider Enumeration Date : 06/17/2006
Last Update Date : 03/26/2024

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Directions to “GATEWAY COMMUNITY HEALTH CENTER, INC. ” Practice Location

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