FOURTH WARD CLINIC NPI 1730472002

NPI Information

NPI: 1730472002
Provider Name: FOURTH WARD CLINIC

Doing Business As: GOOD NEIGHBOR HEALTHCARE CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
8504 SCHULLER RD
HOUSTON, TX
ZIP 77093
Phone: (713) 387-7171
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FOURTH WARD CLINIC is a federally qualified health center (fqhc) clinic center in Houston, TX. FOURTH WARD CLINIC NPI is 1730472002. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Neighbor Healthcare Center.

The provider's business location address is:

8504 SCHULLER RD
HOUSTON, TX
ZIP 77093
Phone: (713) 387-7171
Fax: (713) 387-7189

The provider's authorized official is Janet S. Donath .
The authorized official title is Executive Director and has the following contact phone number (713) 529-3597.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 5/19/2011.

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	261Q00000X	Clinic/Center			TEXAS	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		TEXAS	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	TXB106000	OTHER	TEXAS	MEDICARE PTAN
2	126821105	OTHER	TEXAS	FQHC MEDICAID
3	67-1829	OTHER	TEXAS	FQHC MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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