NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC NPI 1700192085

NPI Information

NPI: 1700192085
Provider Name: NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC

Doing Business As: SOUTHEAST COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2909 MITCHELL BLVD
FORT WORTH, TX
ZIP 76105
Phone: (817) 916-4333
Get Directions

NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC is a federally qualified health center (fqhc) clinic center in Fort Worth, TX. NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC NPI is 1700192085. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Community Health Center.

The provider's business location address is:

2909 MITCHELL BLVD
FORT WORTH, TX
ZIP 76105-642
Phone: (817) 916-4333
Fax: (817) 916-4338

The provider's authorized official is Gerrie Whitaker .
The authorized official title is Ceo and has the following contact phone number (817) 625-4254.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 8/2/2021.

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	207Q00000X	Family Medicine			TEXAS	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	516819	TEXAS	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

NPI Synchronization or Removal

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