DALLAS COUNTY HOSPITAL DISTRICT NPI 1356852784

NPI Information

NPI: 1356852784
Provider Name: DALLAS COUNTY HOSPITAL DISTRICT

Doing Business As: THE STEWPOT

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1822 YOUNG ST
DALLAS, TX
ZIP 75201
Phone: (214) 746-2785
Get Directions

DALLAS COUNTY HOSPITAL DISTRICT is a federally qualified health center (fqhc) clinic center in Dallas, TX. DALLAS COUNTY HOSPITAL DISTRICT NPI is 1356852784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Stewpot.

The provider's business location address is:

1822 YOUNG ST
DALLAS, TX
ZIP 75201-612
Phone: (214) 746-2785

The provider's authorized official is Frederick P. Cerise .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (214) 590-8006.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363L00000X	Nurse Practitioner		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	208000000X	Pediatrics		No
5	213E00000X	Podiatrist		No
6	363A00000X	Physician Assistant		No
7	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	337076902	MEDICAID	TEXAS
2	337076901	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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