CHISHOLM TRAIL EMERGENCY CENTER NPI 1396280756

NPI Information

NPI: 1396280756
Provider Name: CHISHOLM TRAIL EMERGENCY CENTER

Doing Business As: ICARE EMERGENCY ROOM

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
5500 SYCAMORE SCHOOL RD.
STE. 150
FORT WORTH, TX
ZIP 76123
Phone: (214) 407-8668
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CHISHOLM TRAIL EMERGENCY CENTER is an emergency care clinic center in Fort Worth, TX. CHISHOLM TRAIL EMERGENCY CENTER NPI is 1396280756. The provider is registered as an organization entity type.
The provider Is Doing Business As Icare Emergency Room.

The provider's business location address is:

5500 SYCAMORE SCHOOL RD.
STE. 150
FORT WORTH, TX
ZIP 76123
Phone: (214) 407-8668
Fax: (214) 407-8665

The provider's authorized official is Shane Cole .
The authorized official title is Ceo and has the following contact phone number (214) 407-8668.

The CLIA number assigned to this NPI record is 45D2131471 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.

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	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

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

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