CENTRO MEDICAL GUADALUPE
NPI 1144508458
Clinic/Center - Primary Care in Fort Worth, TX

NPI Status: Active since August 03, 2011

Contact Information

1220 N MAIN ST
FORT WORTH, TX
ZIP 76164
Phone: (817) 378-0777
Fax: (817) 378-9522

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  • Organization
  • Clinic/Center
  • Primary Care

About CENTRO MEDICAL GUADALUPE

This page provides the complete NPI Profile along with additional information for Centro Medical Guadalupe, a primary care provider established in Fort Worth, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1144508458 assigned on August 2011. The practitioner's primary taxonomy code is 261QP2300X with license number H4919 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Maryna Lombard (Office Manager)

NPI
1144508458
Provider Name
CENTRO MEDICAL GUADALUPE
Entity Type
Organization
Location Address
1220 N MAIN ST FORT WORTH, TX 76164
Location Phone
(817) 378-0777
Location Fax
(817) 378-9522
Mailing Address
1220 N MAIN ST FORT WORTH, TX 76164
Mailing Phone
(817) 378-0777
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2011
Last Update Date
08-03-2011
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A primary care provider (PCP) like Centro Medical Guadalupe sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
H4919
License State
TX

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARYNA LOMBARD

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(972) 355-1831

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144508458
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218410016410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 0 + 1 + 6 + 4 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1144508458 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972841088CENTRAL MEDICO LLC
Organization
Internal Medicine1220 N MAIN ST SUITE 100
FORT WORTH, TX 76164
(817) 378-0777
1770528010 ALBERTO FLORES MD
Individual
Internal Medicine1220 N MAIN ST STE 100
FORT WORTH, TX 76164
(817) 378-0777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144508458, enumerated in the NPI registry as an "organization" on August 03, 2011

The provider is located at 1220 N Main St Fort Worth, Tx 76164 and the phone number is (817) 378-0777

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

This NPI record was last updated on August 03, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.