Provider Demographics
NPI:1790911063
Name:SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Entity Type:Organization
Organization Name:SAN ANTONIO METROPOLITAN HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCALA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:210-299-5035
Mailing Address - Street 1:332 W. COMMERCE STREET
Mailing Address - Street 2:SUITE, 305
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2409
Mailing Address - Country:US
Mailing Address - Phone:210-207-8749
Mailing Address - Fax:210-207-6359
Practice Address - Street 1:210 N. RIO GRANDE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-3265
Practice Address - Country:US
Practice Address - Phone:210-299-5035
Practice Address - Fax:210-299-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty