Organization
PROJECT VIDA HEALTH CENTER
Active
Other names
Project Vida Near Northeast Health Center, Fernandez Clinic, Fernandez Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HERBST-DAVENPORT (CEO)
(915) 465-1191
Entity
Organization
Contact information
Practice address
4304 DYER ST, EL PASO, TX 79930-6733
(915) 465-1191
(915) 533-7158
Mailing address
3607 RIVERA AVE, EL PASO, TX 79905-2415
(915) 465-1191
(915) 533-7158
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
04/02/2026
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