| Project Vida Health Center | |
|
13300 Chicken Ranch Rd San Elizario TX 79849 | |
| (905) 233-5450 | |
| (915) 533-7158 |
| Full Name | Project Vida Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 13300 Chicken Ranch Rd, San Elizario, Texas |
| Authorized Official Name and Position | Timothy Davenport-herbst (CEO) |
| Authorized Official Contact | 9154651191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Vida Health Center 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 465-1191 | Project Vida Health Center 13300 Chicken Ranch Rd San Elizario TX 79849 Ph: (905) 233-5450 |
| NPI Number | 1093673162 |
|---|---|
| Provider Enumeration Date | 01/15/2026 |
| Last Update Date | 01/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093673162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Project Vida Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Herring Road, San Elizario, TX 79849 Phone: 915-465-1191 | |
Centro San Vicente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13017 Perico St, San Elizario, TX 79849 Phone: 915-851-0999 Fax: 915-851-6060 |