Organization
GATEWAY COMMUNITY HEALTH CENTER, INC.
Active
Other names
GATEWAY COMMUNITY HEALTH CENTER, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL TREVINO JR. (CEO)
(956) 523-3646
Entity
Organization
Contact information
Practice address
2007 S ZAPATA HWY, LAREDO, TX 78046-6510
(956) 795-8101
(956) 795-8135
Mailing address
2007 S ZAPATA HWY, LAREDO, TX 78046-6510
(956) 795-8101
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092953101
—
TX
01
—
1013948447
NPI FOR MEDICARE NUMBER 45-1841
TX
05
—
1922020015
—
TX
Enumeration date
06/17/2006
Last updated
03/26/2024
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