Organization
GATEWAY COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
GATEWAY COMMUNITY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY COMMUNITY HEALTH CENTER, INC.
Authorized official
MR. MIGUEL TREVINO JR. (CEO)
(956) 523-3642
Entity
Organization
Contact information
Practice address
2007 S ZAPATA HWY, LAREDO, TX 78046-6510
(956) 523-3642
(956) 718-6294
Mailing address
2007 S ZAPATA HWY, LAREDO, TX 78046-6510
(956) 523-3642
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081896502
—
TX
Enumeration date
02/28/2008
Last updated
10/21/2009
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